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Remote Risk Adjustment Auditor Jobs in Utah (NOW HIRING)

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · On-site +1

This is a remote contract position. Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory ...

Intermountain Health

This position is primarily remote with occasional need for business travel. Candidates within ... and risk adjustment, such as Medicare, Medicaid, HIPAA, False Claims Act, Anti-Kickback Statute ...

Imh

Senior Partner, PBM Compliance

Murray, UT · On-site +1

This position is primarily remote with occasional need for business travel. Candidates within ... and risk adjustment, such as Medicare, Medicaid, HIPAA, False Claims Act, Anti-Kickback Statute ...

REH Services, LLC

Internal Auditor I

Salt Lake City, UT · On-site +1

... of risk or inefficiency. * Prepare audit workpapers and assist in drafting audit reports ... Participate in fieldwork, including visits to remote or operational sites Qualifications * Bachelor ...

Bread Financial

Global Audit Staff II

Draper, UT · On-site +1

$71K - $140K/yr

The audits assess risk, evaluate internal controls, safeguard assets, and analyze financial ... Bank auditing experience is a plus. Skills * Bank Auditing * Data Analytics * Internal Auditing

APR

Commercial Lines Account Manager | Remote

UT · Remote

$70K - $85K/yr

... adjustments and coverage options. You will work closely with agency producers and carrier ... Proven ability to consult on risk management and provide expert advice to management. * Strong ...

Humana

Transformation Strategy Lead

North Salt Lake, UT · On-site +1

Payor/provider experience, including product design, quality programs, risk adjustment, population ... Remote NY will be considered, preferred is DC Metro and Louisville, KY. Travel : Occasional travel ...

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

PACE Risk Adjustment Coder

AAPC

Salt Lake City, UT • On-site, Remote

Contractor

Posted 17 days ago

Job description

This is a remote contract position.
Job Duties:
  • Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment
  • Meet department production and quality standards
  • Research regulatory guidelines for supporting documentation
  • Prepare coding reports using excel
  • Prepare oral and/or written reports of work activity to Supervisor
  • Be responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information. Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach
  • Other duties as assigned

Minimum Requirements:
  • Minimum 3 years of PACE risk adjustment coding experience
  • Extensive ICD-10-CM coding experience, with Risk Adjustment models for PACE
  • Excellent written and verbal communication skills
  • Ability to "own" project and complete charts assigned in work queue daily
  • Detail oriented and deadline driven attitude
  • Ability to think critically and determine the best method for completing tasks
  • Strong computer skills (Excel, Word, EMR systems, and internet)
  • Ability to multitask and keep a sense of urgency
  • Strong time management, organization skills, and work ethic

Certification Requirements:
  • CRC and 3 years' experience coding risk adjustment
Attributes:
  • Humble - Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
  • Supportive - Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
  • Driven - Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
  • Transparent - Aligned with a culture of openness, integrity, and trustworthiness. Follows through on commitments to internal and external parties. Maintains strict accountability and values the trust placed in them by others.
  • Innovative - Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.

AAPC Services is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, handicap, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.

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