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Remote Risk Adjustment Auditor Jobs in Connecticut

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Remote Risk Adjustment Auditor information

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 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 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 Connecticut?

The most popular types of Risk Adjustment Auditor jobs in Connecticut are:

What are popular job titles related to Remote Risk Adjustment Auditor jobs in Connecticut?

For Remote Risk Adjustment Auditor jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Auditor jobs in Connecticut look for?

The top searched job categories for Remote Risk Adjustment Auditor jobs in Connecticut are:

What cities in Connecticut are hiring for Remote Risk Adjustment Auditor jobs?

Cities in Connecticut with the most Remote Risk Adjustment Auditor job openings:

Infographic showing various Remote Risk Adjustment Auditor job openings in Connecticut as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 100% Remote job distribution.

Licensed Clinical Social Worker (LCSW) - Full-Time Remote Position at Active Health & Hospice

Active Health & Hospice

Bridgeport, CT • Remote

$70K - $84K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New


Job description

Position Overview

Active Health & Hospice is actively seeking a dedicated and skilled Licensed Clinical Social Worker (LCSW) to enhance our remote mental health services. This full-time opportunity allows for flexible scheduling and the autonomy to set your own hours while making a meaningful impact in the lives of patients in a school setting. You will play a critical role in developing personalized care plans, providing therapeutic interventions, and ensuring continuity of care within multidisciplinary teams.

About the Organization

At Active Health & Hospice, we are committed to enriching the quality of life for our patients through compassionate, specialized care. With our roots deeply embedded in the Bridgeport, Connecticut community, our mission focuses on simplifying the healthcare journey, whether it's in finding the right position for a healthcare professional or ensuring optimal care for our patients. Our team values collaboration, professionalism, and a patient-centered approach to care.

Work Environment

This role offers a unique remote work environment, allowing you to engage with patients effectively while enjoying the flexibility of working from home. Though primarily remote, you will interact predominantly with school staff and students, engaging in virtual consultations that require adherence to best practices in mental health assessment and support. You will have the technological resources and systems in place to facilitate secure communication and documentation.

Key Responsibilities
  • Conduct comprehensive mental health assessments, including psychosocial evaluations, diagnostic interviews, and risk assessments to accurately gauge individual needs.
  • Develop individualized treatment plans in collaboration with patients, addressing their unique mental health goals and integrating cultural considerations into the treatment process.
  • Implement evidence-based therapeutic interventions, drawing from methodologies such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and solution-focused brief therapy (SFBT) across various formats, tailored to individual, couple, family, and group settings.
  • Offer crisis intervention services in urgent situations, working alongside other healthcare professionals to coordinate care for patients experiencing acute mental health distress.
  • Maintain meticulous clinical documentation, including progress notes, treatment plans, and discharge summaries, ensuring compliance with clinic policies and state regulations.
  • Provide psychoeducation to patients and families, equipping them with essential skills and knowledge to effectively manage mental health conditions.
  • Participate in multidisciplinary team meetings, collaborating closely with psychiatrists, psychologists, nurses, and case managers to ensure coordinated and holistic patient care.
  • Regularly evaluate treatment effectiveness through outcome assessments, allowing for dynamic adjustments to treatment plans as necessary.
  • Stay abreast of the latest research, best practices, and emerging trends in mental health to enrich your clinical practice and service delivery.
  • Adhere to ethical guidelines and maintain the confidentiality of all patient information, upholding the highest standards of professional integrity.
Patient Population / Client Focus

You will primarily work with a diverse array of students and their families in a school setting, which requires cultural competency and adaptability. Your assessments and interventions will be geared toward addressing mental health challenges common among youths, including anxiety, depression, behavioral issues, and transitional challenges. Collaborating with educators and school counselors will be vital to creating a supportive network for each student.

Qualifications
  • A Master’s degree in Social Work (MSW) is required.
  • An active state license as a Licensed Clinical Social Worker (LCSW) is mandatory.
  • Proficient ability to work both independently and collaboratively within a multidisciplinary team.
  • Exceptional interpersonal and communication skills, allowing for effective rapport-building with patients from varied cultural backgrounds.
Preferred Experience
  • Previous experience in a school or educational setting is highly desirable.
  • Familiarity with various therapeutic techniques and interventions tailored for children and adolescents.
  • Experience working with multidisciplinary teams and understanding of team dynamics.
Compensation and Benefits

The annual salary for this position ranges from $70,000 to $84,000, commensurate with experience and education. Along with competitive pay, we offer a comprehensive benefits package that includes:

  • 401(k) retirement plan with employer match
  • Comprehensive health, dental, and vision insurance
  • Generous paid time off policy to support work-life balance
  • Ongoing training and professional development opportunities
Career Growth Opportunities

Active Health & Hospice is dedicated to the professional growth of our employees. As an LCSW, you will have access to numerous development resources, including specialized training in new therapeutic techniques, leadership workshops, and opportunities to take on more complex cases as you progress in your career. We encourage our social workers to pursue additional certifications and training relevant to their interests and professional goals.

Why Join Our Team

Joining Active Health & Hospice means becoming part of a passionate and dedicated team committed to improving the lives of our patients. We value innovation, compassion, and teamwork, making this an enriching environment to grow both professionally and personally. If you are seeking a role where you can make a significant difference while enjoying the benefits of flexible work schedules and supportive colleagues, we invite you to apply.

Application Information

If you are excited about the possibility of joining our team as a Licensed Clinical Social Worker, please submit your application today. We look forward to hearing from you!