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Remote Fraud Risk Management Jobs in Delaware (NOW HIRING)

ChristianaCare

Coder III - Remote

Newark, DE · On-site +1

Receives feedback and reviews charts with a member of the Coding Management Team for accurate code ... risk of mortality. * Utilizes coding system to sequence CPT codes invoking the APC grouper ...

ABB

Strategic Segment Proposal Engineer

DE · Remote

This is a remote position. Candidates can be located anywhere in the US. This role is contributing ... Initiate risk reviews with leadership and serve as the primary contact for the risk manager when ...

HK Recruiting

Program Director R&D PMO

Newark, DE · On-site +1

Open to remote work with 25% travel. As Program Director, R&D PMO, you will provide strategic ... risk mitigation, and resource optimization. * Collaborate with Finance and leadership teams to ...

Hologic Inc.

Program Director, R&D PMO

Newark, DE · On-site +1

$170K - $303K/yr

Open to remote work with 25% travel. As Program Director, R&D PMO , you will provide strategic ... risk mitigation, and resource optimization. * Collaborate with Finance and leadership teams to ...

ABB

Commercial Proposal Engineer

DE · Remote

Sales Support Manager __ Your role and responsibilities In this role, you will focus on the ... This is a remote position. #Li-Remote This role is contributing to the Electrification Smart ...

Acara Solutions

Operations Analyst

Wilmington, DE · On-site +1

Monday-Friday, 8AM to 5PM (4 days in office, 1 day remote) About the Opportunity: The Investor ... Maintain responsibility for identifying, assessing, and managing risks and risk events, ensuring ...

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Remote Fraud Risk Management information

How does a Remote Fraud Risk Management professional typically collaborate with cross-functional teams to mitigate risks?

Remote Fraud Risk Management professionals regularly work alongside departments such as IT, compliance, customer service, and legal to identify and address potential fraud threats. Collaboration often involves virtual meetings, sharing data insights, and developing joint strategies to detect suspicious activity. Effective communication and the ability to explain complex risk scenarios to non-specialists are crucial. This cross-functional teamwork ensures that fraud prevention measures are integrated throughout the organization and that responses to incidents are swift and coordinated.

What are the key skills and qualifications needed to thrive in Remote Fraud Risk Management, and why are they important?

To thrive in Remote Fraud Risk Management, you need strong analytical skills, attention to detail, and a background in finance, business, or a related field, often supported by relevant certifications such as CFE (Certified Fraud Examiner). Familiarity with fraud detection software, data analysis tools, and case management systems is typically required. Excellent communication, critical thinking, and problem-solving abilities set top performers apart in this role. These skills and qualities are essential for effectively identifying, preventing, and responding to fraudulent activities in a remote environment.

What is the difference between Remote Fraud Risk Management vs Remote Fraud Analyst?

AspectRemote Fraud Risk ManagementRemote Fraud Analyst
CredentialsCertifications in fraud prevention, risk management, or related fieldsBasic knowledge of fraud detection, often with certifications like ACFE or similar
Work EnvironmentStrategic, policy development, and oversight roles within organizationsOperational, investigative roles focused on analyzing transactions and detecting fraud
Employer & Industry UsageFinancial institutions, e-commerce, and fintech companiesBanking, online retail, and payment processing companies
Search & Comparison IntentUnderstanding strategic risk management roles in fraud preventionOperational roles focused on fraud detection and analysis

Remote Fraud Risk Management involves developing policies and overseeing fraud prevention strategies, while Remote Fraud Analysts focus on analyzing transactions to detect and investigate fraud. Both roles are essential in combating fraud but differ in scope and responsibilities.

What is Remote Fraud Risk Management?

Remote Fraud Risk Management refers to the processes and strategies used to detect, prevent, and respond to fraudulent activities in digital environments, especially when employees and operations are distributed or working remotely. This role involves monitoring transactions, analyzing data for suspicious patterns, and implementing security measures to minimize risks. Professionals in this field work closely with IT, compliance, and legal teams to ensure that systems and data remain secure despite the challenges of remote work. Effective remote fraud risk management is critical for protecting organizations from financial losses and reputational damage.
What are popular job titles related to Remote Fraud Risk Management jobs in Delaware? For Remote Fraud Risk Management jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Remote Fraud Risk Management jobs in Delaware look for? The top searched job categories for Remote Fraud Risk Management jobs in Delaware are:
What cities in Delaware are hiring for Remote Fraud Risk Management jobs? Cities in Delaware with the most Remote Fraud Risk Management job openings:
Remote Fraud Risk Management jobs near you
Coder III - Remote

Coder III - Remote

ChristianaCare

Newark, DE • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Job Details
Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!
ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of "America's Best Hospitals" by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.
Scheduling Flexibility and Perks
  • The schedule and hours for this position are very flexible and we will work with you on work/life balance to build a schedule that works for you
  • This position is 100% remote and we encourage national candidates to apply
  • We provide equipment, coding books, continuing education credits as well as professional organization memberships to AHIMA or APC

Primary Function:
ChristianaCare is currently seeking a full-time Coder III to be responsible for accurate and timely assignment of ICD 10 CM/PCS and HCPCS/CPT codes, payment group classification assignment and data abstraction for reimbursement purposes and statistical information reporting on all Inpatient, Outpatient, Emergency Medicine, Ancillary and Diagnostics records, and/or any other patient records for which HIMS Department performs coding services. Meets or exceeds productivity and accuracy standards outlined in the HIMS Coding Policies and Procedures.
Principal Duties and Responsibilities:
  • Reviews and interprets Inpatient, Outpatient, Ancillary, Diagnostics and Emergency Medicine or other patient type records in order to assign appropriate ICD 10 CM/PCS diagnosis and procedure codes and/or HCPCS/CPT procedure codes as required based on record type and CCHS reporting practices.
  • Performs coding and abstracting tasks to support accurate and timely billing, data quality and statistics, and calculation of severity of illness and risk of mortality reporting.
  • Follows UHDDS definitions, CMS regulations, and Official and Internal Coding Guidelines.
  • Utilizes information on diagnostic reports (i.e., radiology, pathology, EKG reports, laboratory values, doctors' orders, and administrative medication forms) to accurately code patient charts in accordance with the Official Coding Guidelines.
  • Completes daily work assignment as directed by Coding Support.
  • Works within service line structure where applicable based on patient type.
  • Serves as a mentor to newer coders in the Coder Position or coders who are being trained in a new coding discipline.
  • Abstracts pertinent data, determines, and sequences codes for diagnoses and procedures, and enters all information into the coding and abstracting system.
  • Utilizes coding and abstracting system as a communication tool, as outlined in the HIMS Coding DNFB Tagging procedures, including but not limited to placing accounts on hold in order to ask questions to management and initiate queries.
  • Receives feedback and reviews charts with a member of the Coding Management Team for accurate code assignment.
  • Provides all necessary coded and abstracted information required for final coding and billing of accounts within productivity expectations by work type in order to support department and organization goals for DNFB dollar amounts and bill hold days.
  • Reviews prepopulated patient demographic information fed via HL7 from source system into coding system and makes necessary abstracted data changes in coding system as required for accurate posting to CCHS billing system.
  • Utilizes coding system to calculate all inpatient encounters in both MS DRG and APR DRG groupers to support the accurate reporting of coded data for severity of illness and risk of mortality.
  • Utilizes coding system to sequence CPT codes invoking the APC grouper methodology to arrive at the proper CPT code hierarchy.
  • Submits timely, accurate, and concise daily productivity reports in accordance with department policy and practice.
  • Attends and participates in coding section and department meetings, inservice training sessions, seminars and workshops.
  • Reports errors as identified in patient identification, account or encounter information, documentation or other medical record discrepancies as they are noted during daily work performance.
  • Supports the Coding Management team by working on special coding projects as assigned.
  • Works with the HIMS Coding Systems Analyst under the direction of HIMS management to achieve the IT initiatives of the HIMS department. This may include systems testing and report reconciliation as needed in our coding and billing systems as well as other IT project support as deemed necessary by the coding management team.
  • Works with the HIMS Coding Support Team under the direction of HIMS management to achieve the revenue cycle goals of the HIMS department. This may include working through aged coding accounts, accessing our billing system, and coding system reports and queues as deemed necessary by the coding management team.

Education and Experience Requirements:
  • CCS credential required
  • College Degree in Health Information Management, Completion of AHIMA Approved Certificate Program, or one-year coding experience in the acute care setting coding Inpatient, Observation, Emergency Medicine or Same Day Surgery is required.
  • Associate or Bachelor Science degree in Health Information Technology preferred.
  • An equivalent combination of education and experience may be substituted.

Christianacare Offers:
  • Full Medical, Dental, Vision, Life Insurance, etc.
  • 403(b) with company match.
  • Generous paid time off.
  • Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!

Hourly Pay Range: $27.31 - $40.96
This pay rate/range represents ChristianaCare's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Post End Date
Aug 1, 2026
EEO Posting Statement
ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/
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About ChristianaCare

Sourced by ZipRecruiter

ChristianaCare is one of the country's most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a free-standing emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women's health. It also includes the pioneering Gene Editing Institute and was rated by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. It is continually ranked by U.S. News & World Report as a Best Hospital. With the unique CareVio data-powered care coordination service and a focus on population health and value-based care, ChristianaCare is shaping the future of health care.

Industry

Outpatient health care

Company size

10,000+ Employees

Headquarters location

Wilmington, DE, US

Year founded

1888

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