Memphis, TN · Remote
$21.75 - $29.75/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Strong clinical skills related to chronic illness diagnosis, treatment and management; Reliability ...
Memphis, TN · Remote
$21.75 - $29.75/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Strong clinical skills related to chronic illness diagnosis, treatment and management; Reliability ...
Atlantic City, NJ · On-site +1
$22.50 - $31/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the ...
Atlantic City, NJ · On-site +1
$22.50 - $31/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the ...
Auburn Hills, MI · Remote
$35 - $40/hr
... Lead Auditor or Manager. Description: The role will support the Dealer Audit organization in ... Up to 50% - With this position being remote, the possibility of travel is anywhere in the ...
Auburn Hills, MI · Remote
$35 - $40/hr
... Lead Auditor or Manager. Description: The role will support the Dealer Audit organization in ... Up to 50% - With this position being remote, the possibility of travel is anywhere in the ...
Dallas, TX · Remote
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Strong clinical skills related to chronic illness diagnosis, treatment and management; Reliability ...
Dallas, TX · Remote
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Strong clinical skills related to chronic illness diagnosis, treatment and management; Reliability ...
Memphis, TN · On-site +1
$21.75 - $29.75/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the ...
Memphis, TN · On-site +1
$21.75 - $29.75/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the ...
Franklin, TN · Remote
$64K - $88K/yr
Supervise the auditing of employee expense reports to ensure compliance with company policies and ... Manage the resolution of issues related to expense report discrepancies and policy violations.
Franklin, TN · Remote
$64K - $88K/yr
Supervise the auditing of employee expense reports to ensure compliance with company policies and ... Manage the resolution of issues related to expense report discrepancies and policy violations.
Santa Fe, NM · On-site +1
$57K - $87K/yr
Remote Profee Remote Auditor/Educator Summary: Build your Career. Make a Difference. Presbyterian ... Liaison to the Manager, Information Services, Finance/Patient Financial Services, all hospitals ...
Santa Fe, NM · On-site +1
$57K - $87K/yr
Remote Profee Remote Auditor/Educator Summary: Build your Career. Make a Difference. Presbyterian ... Liaison to the Manager, Information Services, Finance/Patient Financial Services, all hospitals ...
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Atlanta, GA · On-site +1
Remote MSDRG Auditor Category: Analytics and Emerging Digital Technologies Main location: United ... management program. Location: This position can be located remotely anywhere in the U.S. Schedule:
Atlanta, GA · On-site +1
Remote MSDRG Auditor Category: Analytics and Emerging Digital Technologies Main location: United ... management program. Location: This position can be located remotely anywhere in the U.S. Schedule:
$28 - $31.75/hr
Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers ... EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ...
$28 - $31.75/hr
Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers ... EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ...
$28 - $31.75/hr
Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers ... EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ...
$28 - $31.75/hr
Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers ... EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ...
$28 - $31.75/hr
Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers ... EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ...
$28 - $31.75/hr
Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers ... EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ...
Works closely with inpatient and outpatient coding managers to analyze and resolve claim denials ... CPC - Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC - Certified ...
Works closely with inpatient and outpatient coding managers to analyze and resolve claim denials ... CPC - Certified Professional Coder, HCC - Hierarchical Condition Category Coder, CRC - Certified ...
New York, NY · On-site +1
$77K - $149K/yr
... to external auditors, including managing onsite visits, documenting meeting minutes, and ... HCC validation, Demographic & Enrollment (D&E) validation, and Pharmacy Claims (RXC) validation ...
New York, NY · On-site +1
$77K - $149K/yr
... to external auditors, including managing onsite visits, documenting meeting minutes, and ... HCC validation, Demographic & Enrollment (D&E) validation, and Pharmacy Claims (RXC) validation ...
... HCC validation, Demographic and Enrollment (D&E) validation and Pharmacy Claims ("RXC") validation ... to external auditors, including managing onsite visits, documenting meeting minutes, and ...
... HCC validation, Demographic and Enrollment (D&E) validation and Pharmacy Claims ("RXC") validation ... to external auditors, including managing onsite visits, documenting meeting minutes, and ...
Santa Fe, NM · On-site +1
$54K - $83K/yr
Remote Pro Fee Auditor/Educator Summary: Build your Career. Make a Difference. Presbyterian is ... Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or ...
Santa Fe, NM · On-site +1
$54K - $83K/yr
Remote Pro Fee Auditor/Educator Summary: Build your Career. Make a Difference. Presbyterian is ... Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or ...
Eden Prairie, MN · Remote
$24 - $43/hr
... a Managed Care setting, with solid attention to detail, and proficient knowledge of ICD-10-CM ... experience (HCC coding) with proficient knowledge of CMSHCC model and guidelines * 1 years of ...
Eden Prairie, MN · Remote
$24 - $43/hr
... a Managed Care setting, with solid attention to detail, and proficient knowledge of ICD-10-CM ... experience (HCC coding) with proficient knowledge of CMSHCC model and guidelines * 1 years of ...
The Auditor will assist NPPO leadership in reviewing financial documentation, evaluating financial ... Ability to work independently in a remote environment while managing multiple priorities. * Ability ...
$23K - $30.2K
4% of jobs
$30.2K - $37.5K
10% of jobs
$43.3K is the 25th percentile. Wages below this are outliers.
$37.5K - $44.7K
14% of jobs
$44.7K - $51.9K
16% of jobs
The median wage is $58.1K / yr.
$51.9K - $59.1K
7% of jobs
$59.1K - $66.4K
10% of jobs
$70K is the 75th percentile. Wages above this are outliers.
$66.4K - $73.6K
29% of jobs
$73.6K - $80.8K
4% of jobs
$80.8K - $88K
3% of jobs
$88K - $95.3K
1% of jobs
$95.3K - $102.5K
2% of jobs
$23K
$61.4K
$102.5K
| Aspect | Manager Remote Hcc Auditor | Remote Hcc Auditor |
|---|---|---|
| Certifications | Typically requires CPC or CCS certifications, managerial credentials | Requires CPC or CCS certifications, focus on auditing skills |
| Work Environment | Supervises teams remotely, manages audit processes | Performs audits remotely, focuses on individual tasks |
| Employer & Industry Usage | Used by healthcare insurers, auditing firms, and healthcare providers | Common in healthcare insurance companies, auditing firms |
The Manager Remote Hcc Auditor oversees audit teams and manages audit processes remotely, requiring leadership skills and certifications. In contrast, the Remote Hcc Auditor primarily conducts individual audits remotely, focusing on detailed review work. Both roles share certification requirements and industry usage but differ mainly in scope and responsibilities.
$21.75 - $29.75/hr
Contractor
Posted 10 days ago
Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:
1. CMS HCC Risk Adjustment
2. HEDIS
3. Medical Record Reviews (Accreditation)
4. And more
These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).
Responsibilities:
Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.
Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.
Remain current on medical coding guidelines and reimbursement reporting requirements.
Check chart assignments every day and report accurately all hours worked on a weekly basis.
Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations.
Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
Comply with HIPAA laws and regulations.
Participate in testing and training as required by the Company.
Qualifications:
Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required
At least one years' experience as a medical coder/abstractor.
Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred);
Ability to code using an ICD-9-CM code book (without using an encoder);
Strong clinical skills related to chronic illness diagnosis, treatment and management;
Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts);
Personal discipline to work remotely without direct supervision;
Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5);
Computer proficiency (including MS Windows, MS Office, and the Internet);
Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better;
Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;
Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.
1 year of certified coding experience
All your information will be kept confidential according to EEO guidelines.
Sourced by ZipRecruiter
Health care and social assistance
1,001 - 5,000 Employees
Fort Lauderdale, FL, US
1990
