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Remote Risk Adjustment Auditor Jobs in California

KBR, Inc.

Remote Special Process Auditor

Torrance, CA · On-site +1

$51 - $56/hr

Remote Special Process Auditor Belong, Connect, Grow, with KBR! Program Summary NDT Special Process ... Perform risk analysis and drive mitigation actions including continuous improvement activities.

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$46.52 - $59.20/hr

Overview Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top ... and reduce risk to the strategies and objectives of Community Care Health (CCH). Designs and ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$46.52 - $59.20/hr

Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top employer ... and reduce risk to the strategies and objectives of Community Care Health (CCH). Designs and ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$80K - $98K/yr

Overview Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top ... and reduce risk to the strategies and objectives of Community Care Health (CCH). Designs and ...

York Risk Services

Attorney Auditor

Los Angeles, CA · Remote

$70K - $75K/yr

This is a fully remote position, and candidates residing in any of the 50 United States are encouraged to apply.** As an Attorney Auditor at Sedgwick, you'll have the opportunity to take on new ...

Guild Mortgage

VP, Credit Risk

San Diego, CA · On-site +1

$177K - $242K/yr

Review product mix and recommend adjustments to Product Strategy Team and/or Risk Committee as ... Liaise with external auditors, regulators, and rating agencies as required. * Provide inputs to new ...

UCLA Health

Coding Supervisor

Los Angeles, CA · Remote

$65K - $130K/yr

CPMA (Certified Professional Medical Auditor), CHC (Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification * Familiarity with revenue cycle ...

Astrana Health, Inc.

$33 - $38/hr

... risk adjustment, quality reporting, and medical expense analysis. What You'll Do * Review inpatient ... Conduct coding validation and auditing to ensure compliance with payer and regulatory requirements

Corvel

Bill Review Analyst I

Folsom, CA · Remote

$13.38 - $23.42/hr

This is a remote position ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for auditing ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Qcells

Director, Compliance Risk

San Francisco, CA · On-site +1

$145K - $195K/yr

Santa Clara, CA or Teaneck, NJ. Remote work may be considered for exceptional cases ... Act as a key liaison with Internal Audit, external auditors, and regulatory examiners. REQUIRED ...

Qcells

Director, Compliance Risk

Irvine, CA · On-site +1

$145K - $195K/yr

Santa Clara, CA or Teaneck, NJ. Remote work may be considered for exceptional cases ... Act as a key liaison with Internal Audit, external auditors, and regulatory examiners. REQUIRED ...

Qcells

Director, Compliance Risk

Santa Clara, CA · On-site +1

$145K - $195K/yr

Santa Clara, CA or Teaneck, NJ. Remote work may be considered for exceptional cases ... Act as a key liaison with Internal Audit, external auditors, and regulatory examiners. REQUIRED ...

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Showing results 21-40

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Remote Risk Adjustment Auditor information

What are the key skills and qualifications needed to thrive as a remote risk adjustment auditor?

To thrive as a Remote Risk Adjustment Auditor, you need strong knowledge of medical coding (CPT, ICD-10), healthcare compliance, and experience with risk adjustment methodologies, typically supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding audit software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and effective written communication are important soft skills for interpreting complex medical records and collaborating with healthcare providers. These skills ensure accurate risk adjustment coding, regulatory compliance, and optimized reimbursement processes in a remote work environment.

What are some common challenges remote risk adjustment auditors face, and how can they overcome them?

Remote Risk Adjustment Auditors often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and effectively communicating with team members in a virtual environment. To overcome these, auditors should prioritize ongoing education on coding standards, utilize secure collaboration tools to stay connected with colleagues, and develop strong organizational skills to manage multiple assignments efficiently. Proactively seeking feedback and participating in team meetings can also help maintain accuracy and a sense of community while working remotely.

What is a remote risk adjustment auditor?

A Remote Risk Adjustment Auditor is a healthcare professional who reviews medical records and documentation from a remote location to ensure accurate coding for risk adjustment purposes. Their work helps health plans and providers comply with government regulations and receive appropriate reimbursement for patient care. They analyze clinical documents to validate diagnoses, identify coding errors, and ensure data integrity. Remote auditors use specialized software and follow strict confidentiality guidelines while working from home or another offsite location.

What is the difference between Remote Risk Adjustment Auditor vs Remote Medical Coder?

AspectRemote Risk Adjustment AuditorRemote Medical Coder
CertificationsCPMA, RAC, or RHITAAPC CPC, CCS, or RHIT
Work EnvironmentInsurance, healthcare auditing firmsHospitals, clinics, insurance companies
Job FocusReviewing documentation for risk adjustment accuracyAssigning medical codes to patient records

Remote Risk Adjustment Auditors and Remote Medical Coders often share certifications and work in healthcare settings. However, auditors focus on reviewing documentation for risk adjustment purposes, while coders assign medical codes directly to patient records. Both roles require healthcare knowledge but serve different functions within the industry.

What are the most commonly searched types of Risk Adjustment Auditor jobs in California? The most popular types of Risk Adjustment Auditor jobs in California are:
What are popular job titles related to Remote Risk Adjustment Auditor jobs in California? For Remote Risk Adjustment Auditor jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Auditor jobs in California look for? The top searched job categories for Remote Risk Adjustment Auditor jobs in California are:
What cities in California are hiring for Remote Risk Adjustment Auditor jobs? Cities in California with the most Remote Risk Adjustment Auditor job openings:
Remote Risk Adjustment Auditor jobs near you

Remote Special Process Auditor

KBR, Inc.

Torrance, CA • On-site, Remote

$51 - $56/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

KBR rating

8.3

Company rating: 8.3 out of 10

Based on 47 frontline employees who took The Breakroom Quiz

139th of 446 rated engineering

Job description

Title:
Remote Special Process Auditor
Belong, Connect, Grow, with KBR!
Program Summary
NDT Special Process Quality Auditor will have experience in auditing globally diverse teams, communicating with senior management, managing challenging customer issues, leveraging the larger Aero organization for solutions, and solving complex problems where a degree of ambiguity exists.
Job Summary
This remote position is responsible for supporting the Nadcap certification compliance program at global locations as applicable. The position requires a wide breadth of special process/Nadcap experience across programs to work with our sites and customers in helping to determine appropriate NDT and special processes requirements and processes. The successful candidate will have experience working with globally diverse teams, communicating with senior leadership, managing challenging customer issues, leveraging the larger Aero organization for solutions, and solving complex problems where a degree of ambiguity exists. The individual will provide quality support to all global operations for Honeywell Aerospace sites, other contract SP auditors and help with oversight of the Aero quality management system related to the role.
Roles and Responsibilities
  • Develop strategies for successful planning and execution of the Nadcap audits, with emphasis on site compliance.
  • Provide support in maintaining the Nadcap certification process for all locations.
  • Ensure compliance with all industry and customer requirements at sites.
  • Provide SME Leadership to the Special Process Network audit process to ensure schedule compliance, auditor qualification, process improvement, and corrective action.
  • Participating in customer quality improvement plans (QIP) related to special processes as required.
  • Collaborate with site resources, product engineering, and the Product Action Committees (PAC) to drive product and manufacturing improvements that result in escape reductions and improved product reliability related to special processes.
  • Perform risk analysis and drive mitigation actions including continuous improvement activities.
  • Use project management tools to influence cross-functional departments and activities.
  • Function as Special Process, QMS process and procedural mentor for sites.

Basic Qualifications
  • U.S. citizenship.
  • Bachelor's degree in engineering, Business or Technical discipline
  • 10+ years' experience in a quality related function and an Aerospace production environmen
  • Extensive knowledge of the AS9100 series of industry standards
  • Knowledge of NADCAP Special Processes
  • Direct experience with all elements of Honeywell's Quality Management Systems and certifications
  • 5 years minimum Lead Auditor experience
  • This position may travel 75%.

Preferred Qualifications
  • Qualified auditor to industry requirements for AS9100 and two or more special processes
  • Ability to lead, motivate, develop, and mentor others
  • Considerable experience in quality engineering, manufacturing, and repair and overhaul environments
  • Six Sigma Lean, Greenbelt or Blackbelt certification
  • Demonstrated proficiency in project management
  • Out of box thinking
  • Successful application of RCCA and CAMP processes
  • Adept in soliciting facts and opinions from all team members, and creating a constructive, diverse, and open environment

Compensation & Work Schedule
Full-Time hourly, full benefits position (30-39 hours a week). The anticipated hourly pay range for this role is $51-56 an hr. per hour. Actual compensation will be determined based on factors such as relevant experience, qualifications, and internal equity.
This position is expected to work approximately 30-39 hours per week. Hours may vary based on business needs.
KBR Benefits
KBR offers a selection of competitive lifestyle benefits which could include 401K plan with company match, medical, dental, vision, life insurance, AD&D, flexible spending account, disability, paid time off, or flexible work schedule. We support career advancement through professional training and development. Click here to learn more: KBR Benefits
Belong, Connect and Grow at KBR
At KBR, we are passionate about our people and our Zero Harm culture. These inform all that we do and are at the heart of our commitment to, and ongoing journey toward being a People First company. That commitment is central to our team of team's philosophy and fosters an environment where everyone can Belong, Connect and Grow. We Deliver - Together.
KBR is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

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About KBR

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At KBR, we partner with government and industry clients to provide purposeful and comprehensive solutions with an emphasis on efficiency and safety. With a full portfolio of services, proprietary technologies and expertise, our employees are ready to handle projects and missions from planning and design to sustainability and maintenance. Whether at the bottom of the ocean or in outer space, our clients trust us to deliver the impossible on a daily basis.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Houston, TX, US

Year founded

1998

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