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Remote Risk Adjustment Auditor Jobs in Indiana (NOW HIRING)

Manulife

$89K - $105K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...

Corvel

CareIQ Scheduling Coordinator I

Carmel, IN · Remote

$15.61 - $23.82/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILTIES: * Provides telephonic customer ... The level may impact the salary range and these adjustments would be clarified during the offer ...

The Heritage Group

Senior Payroll Specialist

Indianapolis, IN · Remote

$28.25 - $38.50/hr

This role is primarily remote with occasional travel into our Indianapolis, IN offices. Qualified ... Creates monthly reports to maintain data integrity and compliance while limiting liability and risk

Corvel

CareIQ Schedule Coordinator I

Carmel, IN · Remote

$15.61 - $23.82/hr

This is a remote position but for continuity of business with our management team, candidate needs ... The level may impact the salary range and these adjustments would be clarified during the offer ...

BSI Prof Serv EHS West

Remote, Northern Europe About the role We are looking for an Employee Relations Specialist to join ... risk, and drive consistency across Northern Europe. This is an excellent opportunity for someone ...

BSI Group

Remote, Northern Europe About the role We are looking for an Employee Relations Specialist to join ... risk, and drive consistency across Northern Europe. This is an excellent opportunity for someone ...

BSI Group

Understanding of Risk Management and FMEA of Software Medical Devices. * Broad technical ... auditing, certification, and training services, including innovative software solutions and ...

BSI Prof Serv EHS West

Understanding of Risk Management and FMEA of Software Medical Devices. * Broad technical ... auditing, certification, and training services, including innovative software solutions and ...

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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, and why are they important?

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 Indiana? The most popular types of Risk Adjustment Auditor jobs in Indiana are:
What are popular job titles related to Remote Risk Adjustment Auditor jobs in Indiana? For Remote Risk Adjustment Auditor jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Auditor jobs in Indiana look for? The top searched job categories for Remote Risk Adjustment Auditor jobs in Indiana are:
What cities in Indiana are hiring for Remote Risk Adjustment Auditor jobs? Cities in Indiana with the most Remote Risk Adjustment Auditor job openings:
Remote Risk Adjustment Auditor jobs near you
SR SYSTEMS SUPPORT QUALITY (3897)

SR SYSTEMS SUPPORT QUALITY (3897)

NICE-PAK PRODUCTS LLC

Plainfield, IN • Remote

Full-time

Re-posted 29 days ago

Job description

POSITION PURPOSE

The Purpose of this position is to ensure primary support and facilitation of customer portals, including updating tasks, uploading required documents, scheduling testing/inspections, and general communication to maintain the partnership effectively.  This person will also provide Quality Systems administrative support related to electronic Document Management Systems, Supplier Quality, and other areas as appropriate.  This position will also be the subject matter expert for the Target Quality Program including their auditing process along with their electronic portal Inspectorio.

ESSENTIAL FUNCTIONS AND BASIC DUTIES

TARGET QUALITY PROGRAM:
•    Subject matter expert and responsible party for the Target Quality Program
•    Schedule all requirements for the Target Quality Program
•    Attend internal meetings on Target launches for timelines and prepare/schedule requirements
•    Respond to any Target requests from the customer directly, or from Sales
•    Become proficient with the Inspectorio portal to schedule all Target requirements
•    Manage/Create all documents and physical samples in support of the inspections
•    Attend off site inspections for support across all facilities – some of this may be remote support via TEAMS
SUPPLIER MANAGEMENT:
•    Supports the supplier quality program with administrative support related to risk evaluations, audits, quality agreements, procedures, and annual performance reviews as needed
PORTALS:
•    Partner with Technical services (Regulatory Affairs, R&D and Quality) for Customer compliance standards. This may include loading company information into electronic portals from other department subject matter experts
•    Monitor laboratory portals for product reports and respond to any failures.  Failures may require assistance from technical services for responses
•    Monitor customer portals and customer email requests.  If needed, direct to the appropriate subject matter expert for requirements.  Portal upload of documentation and/or respond to emails with appropriate information requested
DOCUMENT PROCESSING & eDMS MANAGEMENT:
•    Initiate and follow-up on change requests for new and existing documents and documents for review, approval, and issuance
•    Initiate and follow-up on periodic review routings
•    Manage and follow-up on stalled/stopped/past due workflows
•    Troubleshoot system issues and provide resolutions to our stakeholders
REPORTING:
•    Complete reports and metrics as required for documentation and training
OTHER RESPONSIBILITIES:
•    Provide customer support and customer service to internal and external customers
•    All other duties as assigned

PERFORMANCE MEASUREMENTS
1.    On time completion. 
2.    Robustness of program. 
3.    Training and certification compliance.
4.    Values - centered execution.

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