Medical Coordinator I
$14.68 - $22.69/hr
Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering ... The level may impact the salary range and these adjustments would be clarified during the offer ...
$14.68 - $22.69/hr
Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering ... The level may impact the salary range and these adjustments would be clarified during the offer ...
$14.68 - $22.69/hr
Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering ... The level may impact the salary range and these adjustments would be clarified during the offer ...
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and ... Medicare offsets. * Reports claims to the excess carrier; responds to requests of directions in a ...
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and ... Medicare offsets. * Reports claims to the excess carrier; responds to requests of directions in a ...
... audit principles and concepts, and potential areas of risk for fraud and abuse. Includes, but is not limited to: The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage ...
... audit principles and concepts, and potential areas of risk for fraud and abuse. Includes, but is not limited to: The Federal Register, Center for Medicare, and Medicaid Services (CMS) Local Coverage ...
Des Moines, IA · On-site
$53K - $70K/yr
... Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients ... Conduct all phases of the audit including planning and research, risk assessment, fieldwork ...
Des Moines, IA · On-site
$53K - $70K/yr
... Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients ... Conduct all phases of the audit including planning and research, risk assessment, fieldwork ...
$46K - $61K/yr
Process returns, adjustments, chargebacks, and corrections * Ensure end-of-day and intraday ... Maintain audit-ready documentation * Ensure adherence to NACHA, Reg E, PCI, AML/KYC requirements
$46K - $61K/yr
Process returns, adjustments, chargebacks, and corrections * Ensure end-of-day and intraday ... Maintain audit-ready documentation * Ensure adherence to NACHA, Reg E, PCI, AML/KYC requirements
$46K - $61K/yr
Process returns, adjustments, chargebacks, and corrections * Ensure end-of-day and intraday ... Maintain audit-ready documentation * Ensure adherence to NACHA, Reg E, PCI, AML/KYC requirements
$46K - $61K/yr
Process returns, adjustments, chargebacks, and corrections * Ensure end-of-day and intraday ... Maintain audit-ready documentation * Ensure adherence to NACHA, Reg E, PCI, AML/KYC requirements
Cedar Rapids, IA · On-site
$109K - $131K/yr
... risk assessment procedures, to perform appropriate audit procedures, to perform quality control ... adjustments, client obstacles, etc. * Identify technical issues involving changes in client ...
Cedar Rapids, IA · On-site
$109K - $131K/yr
... risk assessment procedures, to perform appropriate audit procedures, to perform quality control ... adjustments, client obstacles, etc. * Identify technical issues involving changes in client ...
Cedar Rapids, IA · On-site
$109K - $131K/yr
... risk assessment procedures, to perform appropriate audit procedures, to perform quality control ... adjustments, client obstacles, etc. * Identify technical issues involving changes in client ...
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Cedar Rapids, IA · On-site
$109K - $131K/yr
... risk assessment procedures, to perform appropriate audit procedures, to perform quality control ... adjustments, client obstacles, etc. * Identify technical issues involving changes in client ...
Cedar Rapids, IA · On-site
$80 - $100/hr
... risk assessment procedures, to perform appropriate audit procedures, to perform quality control ... adjustments, client obstacles, etc. * Identify technical issues involving changes in client ...
Cedar Rapids, IA · On-site
$80 - $100/hr
... risk assessment procedures, to perform appropriate audit procedures, to perform quality control ... adjustments, client obstacles, etc. * Identify technical issues involving changes in client ...
Atkins, IA · On-site
$44K - $48K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Atkins, IA · On-site
$44K - $48K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Cedar Rapids, IA · On-site
$44K - $48K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Cedar Rapids, IA · On-site
$44K - $48K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Fairfax, IA · On-site
$46K - $52K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Fairfax, IA · On-site
$46K - $52K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Marion, IA · On-site
$44K - $48K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Marion, IA · On-site
$44K - $48K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Independence, IA · On-site
$46K - $52K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Independence, IA · On-site
$46K - $52K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Cedar Rapids, IA · On-site
$46K - $52K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Cedar Rapids, IA · On-site
$46K - $52K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Fairfax, IA · On-site
$44K - $48K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
Fairfax, IA · On-site
$44K - $48K/yr
... and risk parameters. • Process approved modifications including term extensions, payment ... rate adjustments, or restructures. • Ensure timely and accurate updating of loan servicing ...
$24.50 - $28/hr
... Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education ... Responds to identified areas of risk through investigation and internal audit to ensure compliance ...
$24.50 - $28/hr
... Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education ... Responds to identified areas of risk through investigation and internal audit to ensure compliance ...
Akron, IA · Hybrid
Ensure risk-based controls and policies in force for Spain are followed and applied by the AFC ... Support the Head of AFC - Southern Europe in identifying any audit requirements and oversee any ...
Akron, IA · Hybrid
Ensure risk-based controls and policies in force for Spain are followed and applied by the AFC ... Support the Head of AFC - Southern Europe in identifying any audit requirements and oversee any ...
Nevada, IA · On-site
$110 - $140/hr
Design and implement workflows that support Medicaid, Medicare, and MCO billing compliance ... Serve as the agency's Clinical Lead in contract discussions, audits, and collaborations with ...
New
Nevada, IA · On-site
$110 - $140/hr
Design and implement workflows that support Medicaid, Medicare, and MCO billing compliance ... Serve as the agency's Clinical Lead in contract discussions, audits, and collaborations with ...
New
Keokuk, IA · On-site
$30 - $38/hr
... high-risk residents. * Develop, implement, and monitor individualized nutrition care plans ... Conduct monthly kitchen sanitation audits, documenting findings and recommending corrective actions ...
Keokuk, IA · On-site
$30 - $38/hr
... high-risk residents. * Develop, implement, and monitor individualized nutrition care plans ... Conduct monthly kitchen sanitation audits, documenting findings and recommending corrective actions ...
| Aspect | Medicare Risk Adjustment Audit | Medicare Coding Specialist |
|---|---|---|
| Primary Focus | Reviewing and verifying accuracy of risk adjustment data | Assigning correct medical codes for billing and documentation |
| Certifications | Risk adjustment or auditing certifications often preferred | Medical coding certifications like CPC or CCS |
| Work Environment | Healthcare organizations, insurance companies, auditing firms | Hospitals, clinics, billing companies |
| Industry Usage | Used in Medicare Advantage plan compliance and reimbursement | Used in medical billing and claims processing |
While both roles involve healthcare data, Medicare Risk Adjustment Auditors focus on verifying the accuracy of risk scores for Medicare payments, whereas Medicare Coding Specialists assign medical codes for billing purposes. Understanding these differences helps in choosing the right career path or job focus within the healthcare industry.
For Medicare Risk Adjustment Audit jobs in Iowa, the most frequently searched job titles are:
The top searched job categories for Medicare Risk Adjustment Audit jobs in Iowa are:
Cities in Iowa with the most Medicare Risk Adjustment Audit job openings:

$14.68 - $22.69/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 13 days ago
7.9
Based on 51 frontline employees who took The Breakroom Quiz
86th of 151 rated financial services
Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering high-quality Medicare compliance solutions. The Medical Coordinator plays a key role in supporting Medicare lien resolution, medical cost projections, and Medicare Set-Aside services. This position works closely with Certified Nurse Medicare Specialists and Nurse Life Care Planners to ensure accuracy, quality, and exceptional client service.
This is an excellent opportunity for an organized and detail-oriented professional with medical terminology knowledge who enjoys working in a collaborative, fast-paced environment where their contributions directly impact client outcomes.
Essential Functions & Responsibilities
Knowledge & Skills
Education & Experience
Required:
Preferred:
Why Join Us?
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $14.68 - $22.69 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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