Quality Assurance Auditor
Chicago, IL · Remote
... plan coders as needed for all new and existing revisions, along with compiling and reporting ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...
Chicago, IL · Remote
... plan coders as needed for all new and existing revisions, along with compiling and reporting ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...
Chicago, IL · Remote
... plan coders as needed for all new and existing revisions, along with compiling and reporting ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...
Dyer, IN · On-site +1
$115K - $120K/yr
Remote LCSW Therapist for Indiana Clients Full-Time Telehealth Role Job Summary We are seeking a ... Support clients experiencing anxiety, depression, trauma, grief, stress, adjustment issues, and ...
Dyer, IN · On-site +1
$115K - $120K/yr
Remote LCSW Therapist for Indiana Clients Full-Time Telehealth Role Job Summary We are seeking a ... Support clients experiencing anxiety, depression, trauma, grief, stress, adjustment issues, and ...
Chicago, IL · On-site +1
$48K - $50K/yr
... plan coders as needed for all new and existing revisions, along with compiling and reporting ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...
Chicago, IL · On-site +1
$48K - $50K/yr
... plan coders as needed for all new and existing revisions, along with compiling and reporting ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...
Dyer, IN · Remote
$115K - $120K/yr
Remote LCSW Therapist for Indiana Clients | Full-Time Telehealth Role Job Summary We are seeking a ... Support clients experiencing anxiety, depression, trauma, grief, stress, adjustment issues, and ...
Quick apply
Dyer, IN · Remote
$115K - $120K/yr
Remote LCSW Therapist for Indiana Clients | Full-Time Telehealth Role Job Summary We are seeking a ... Support clients experiencing anxiety, depression, trauma, grief, stress, adjustment issues, and ...
Dyer, IN · Remote
$115K - $120K/yr
Remote LCSW Therapist for Indiana Clients | Full-Time Telehealth Role Job Summary We are seeking a ... Support clients experiencing anxiety, depression, trauma, grief, stress, adjustment issues, and ...
Dyer, IN · Remote
$115K - $120K/yr
Remote LCSW Therapist for Indiana Clients | Full-Time Telehealth Role Job Summary We are seeking a ... Support clients experiencing anxiety, depression, trauma, grief, stress, adjustment issues, and ...
Chesterton, IN · Remote
$115K - $120K/yr
Indiana LCSW Telehealth Clinician | Remote Mental Health Therapy Job Summary Clients seeking ... Use sound judgment when addressing risk, crisis concerns, or referrals for added support ...
Chesterton, IN · Remote
$115K - $120K/yr
Indiana LCSW Telehealth Clinician | Remote Mental Health Therapy Job Summary Clients seeking ... Use sound judgment when addressing risk, crisis concerns, or referrals for added support ...
Chesterton, IN · Remote
$115K - $120K/yr
Indiana LCSW Telehealth Clinician | Remote Mental Health Therapy Job Summary Clients seeking ... Use sound judgment when addressing risk, crisis concerns, or referrals for added support ...
Quick apply
Chesterton, IN · Remote
$115K - $120K/yr
Indiana LCSW Telehealth Clinician | Remote Mental Health Therapy Job Summary Clients seeking ... Use sound judgment when addressing risk, crisis concerns, or referrals for added support ...
Chesterton, IN · On-site +1
$115K - $120K/yr
Indiana LCSW Telehealth Clinician Remote Mental Health Therapy Job Summary Clients seeking therapy ... Use sound judgment when addressing risk, crisis concerns, or referrals for added support ...
Chesterton, IN · On-site +1
$115K - $120K/yr
Indiana LCSW Telehealth Clinician Remote Mental Health Therapy Job Summary Clients seeking therapy ... Use sound judgment when addressing risk, crisis concerns, or referrals for added support ...
Risk & Compliance: Actively managing and evaluating risk and customer-impacting issues, and ... San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance ...
Risk & Compliance: Actively managing and evaluating risk and customer-impacting issues, and ... San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance ...
Gary, IN · On-site +1
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Identify risk concerns and follow appropriate clinical protocols Requirements * Master's degree in ...
Gary, IN · On-site +1
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Identify risk concerns and follow appropriate clinical protocols Requirements * Master's degree in ...
Carol Stream, IL · Remote
$17.79 - $21.64/hr
Follow procedures to ensure adherence to the company's risk and compliance policies. Highlights ... S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred ...
Carol Stream, IL · Remote
$17.79 - $21.64/hr
Follow procedures to ensure adherence to the company's risk and compliance policies. Highlights ... S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred ...
Joliet, IL · Remote
$17.79 - $21.64/hr
Follow procedures to ensure adherence to the company's risk and compliance policies. Highlights ... S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred ...
Joliet, IL · Remote
$17.79 - $21.64/hr
Follow procedures to ensure adherence to the company's risk and compliance policies. Highlights ... S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred ...
Gary, IN · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Identify risk concerns and follow appropriate clinical protocols Requirements * Master's degree in ...
Gary, IN · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Identify risk concerns and follow appropriate clinical protocols Requirements * Master's degree in ...
Gary, IN · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Identify risk concerns and follow appropriate clinical protocols Requirements * Master's degree in ...
Quick apply
Gary, IN · Remote
$115K - $120K/yr
Remote / Telehealth Position Type: Full-Time Salary: $115,000-$120,000 per year with full benefits ... Identify risk concerns and follow appropriate clinical protocols Requirements * Master's degree in ...
Chicago, IL · Remote
$17.79 - $21.64/hr
Follow procedures to ensure adherence to the company's risk and compliance policies. Highlights ... S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred ...
Chicago, IL · Remote
$17.79 - $21.64/hr
Follow procedures to ensure adherence to the company's risk and compliance policies. Highlights ... S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred ...
Chicago, IL · On-site +1
$70K - $90K/yr
... nonresponse adjustments, analyzing survey responses, and interpreting findings. Programming ... Please include a code sample (or two or three) which best represents your programming skills ...
Chicago, IL · On-site +1
$70K - $90K/yr
... nonresponse adjustments, analyzing survey responses, and interpreting findings. Programming ... Please include a code sample (or two or three) which best represents your programming skills ...
Lisle, IL · Remote
Recommend strategic or executional adjustments based on data-driven insights and external factors ... Identify line of business needs and manage underwriting controls, risk appetite, and tools in ...
Lisle, IL · Remote
Recommend strategic or executional adjustments based on data-driven insights and external factors ... Identify line of business needs and manage underwriting controls, risk appetite, and tools in ...
Lisle, IL · Remote
Recommend strategic or executional adjustments based on data-driven insights and external factors ... Identify line of business needs and manage underwriting controls, risk appetite, and tools in ...
Lisle, IL · Remote
Recommend strategic or executional adjustments based on data-driven insights and external factors ... Identify line of business needs and manage underwriting controls, risk appetite, and tools in ...
Chicago, IL · On-site +1
If you require any adjustments or have specific needs, please contact Becka or Steven from our ... Job code: CPT407 Career opportunities Medical writing Role Publications Locations USA (Remote ...
Chicago, IL · On-site +1
If you require any adjustments or have specific needs, please contact Becka or Steven from our ... Job code: CPT407 Career opportunities Medical writing Role Publications Locations USA (Remote ...
Riverwoods, IL · On-site +1
Risk & Compliance: Actively managing and evaluating risk and customer-impacting issues, and ... San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance ...
Riverwoods, IL · On-site +1
Risk & Compliance: Actively managing and evaluating risk and customer-impacting issues, and ... San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance ...
$17.83 - $18.44
7% of jobs
$19.02 is the 25th percentile. Wages below this are outliers.
$18.44 - $19.04
19% of jobs
$19.04 - $19.65
5% of jobs
$19.65 - $20.26
3% of jobs
$20.26 - $20.87
14% of jobs
The median wage is $21.02 / hr.
$20.87 - $21.48
6% of jobs
$21.48 - $22.08
0% of jobs
$22.08 - $22.69
0% of jobs
$22.69 - $23.30
0% of jobs
$23.78 is the 75th percentile. Wages above this are outliers.
$23.30 - $23.91
26% of jobs
$23.91 - $24.52
20% of jobs
$17
$22
$24
| Aspect | Remote Hcc Risk Adjustment Coding |
|---|
Since the comparison is with itself, the roles are identical. Both involve coding for HCC risk adjustment, require similar credentials like coding certifications, and are performed remotely within healthcare insurance environments. The primary difference lies in specific employer requirements or specialization, but generally, these roles are the same in scope and industry usage.

Full-time
Medical, Dental, Vision, Life, PTO
Posted 8 days ago
8.1
Based on 5 frontline employees who took The Breakroom Quiz
86th of 428 rated business services
POSITION SUMMARY
The Quality Assurance Auditor will be responsible for the completion of multiple audit tasks including but not limited to auditing the building of plan coders as needed for all new and existing revisions, along with compiling and reporting results and trends accurately. The QA Auditor is also responsible for auditing outgoing correspondence from the Medical Review, Appeals, and Refund teams, as well as complete audit of claim adjustments by the Rapid Response team. The QA Auditor will interpret the benefits in the plan documents to determine how benefits are payable and tracked/reported in the QicLink system.
ESSENTIAL FUNCTIONS
Log and track data to be audited
Audit outgoing correspondence from the Medical Review, Appeals, and Refund teams
Conduct complete audit of claim adjustments by the Rapid Response team
Communicate and coordinate with other departments involved in the audit process
Audit new and existing plans built by plan coders for all new and existing revisions
Assist with current audit programs in place as well as identifying ways to improve audit results
Track and report audit trends and communicate training requirements to Management based on audit results
Monitor and track audit progress to ensure all audit tasks are complete by the determined deadline
Audit data for accuracy as well as workflow compliance
Other duties as assigned
EDUCATION
Bachelor's degree or equivalent work experience required.
EXPERIENCE AND SKILLS
Minimum 5 years of comprehensive experience with auditing medical, dental, and vision claims required
Proficient in Microsoft Word and Microsoft Excel
Some familiarity with plan coding
Strong written and verbal communication skills required
Ability to effectively manage assigned workload, including multiple tasks and competing priorities
COMPETENCIES
Accountability
Analytical Thinking
Collaboration
Communication
Customer Focus
Functional Expertise
Initiative
PHYSICAL DEMANDS
This is a standard desk job requiring extended sitting and computer work
.
WORK ENVIRONMENT
Remote
Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.
Sourced by ZipRecruiter
Insurance services
201 - 500 Employees
Chicago, IL, US
1980