Risk Adjustment Auditing Specialist

Norwood; United States; Remote; USD 80,000 - 110,000; Full time

Job summary

Norwood, a remote-first staffing and consulting company in the healthcare industry, is seeking a Risk Adjustment Auditing Specialist with extensive experience. This role offers long-term fulfillment and a balanced work-life environment, including benefits such as paid holidays and remote opportunities.

Benefits

6 paid holidays

PTO

Health benefits

Travel expenses covered upfront

Qualifications

• Minimum of 5 years in risk adjustment auditing in a production environment.
• Experience with CMS-HCC models required; other models preferred.
• Ability to implement new or updated guidance directives when applicable.

Responsibilities

• Conduct risk adjustment audits and provide feedback for skill advancement.
• Document improvement processes and performance metrics.
• Assist in coding and auditing Quality Assurance.

Skills

Risk Adjustment Auditing

Quality Assurance

Coding

Excel

Education

CPC Certification

CRC Certification

Job description

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At Norwood we’re forging our own path. We’re a remote-first staffing and consulting company specializing in mid-Revenue Cycle management within the healthcare industry. Our team of experts have placed thousands of professionals that support organizations ranging from small, community-based hospitals to the largest healthcare systems in the nation. Our mission? Bringing health to hospitals’ bottom lines.

No need to job hop or worry about your next assignment when you work for Norwood! Our goal is to help you find long term fulfillment in your Risk Adjustment Auditing Specialist career. If you are looking for a new opportunity to sharpen your skills, we want to connect with you!

What can you expect from your Norwood experience?

• Personalized recruiter relationships
• Industry Subject Matter Experts
• A sales department with reliable client relationships nationwide
• Remote opportunities that allow for positive life/work balance
• Permanent opportunities are available
• Travel expenses are covered upfront (if travel is required)
• Full time employees enjoy 6 paid holidays, PTO and health benefits

Our requirements:

• Minimum of 5 years of risk adjustment auditing in a production environment.
• Experience in coding/auditing Quality Assurance & Education including delivery of feedback for skill advancement and documentation improvement preferred.
• CPC and CRC required; additional certifications preferred.
• Experience with CMS-HCC models required; additional models (ACA, MCD, etc.) preferred.
• Ability to implement new or updated guidance directives when applicable.
• Experience with Excel, EMRs, and Encoders.

We are a small company with big company advantages! Norwood currently has several openings for HIM/coding professionals with inpatient or outpatient experience. Apply today to be connected with one of our specialized recruiters who can help you achieve your career goals and needs!

Applicants must be authorized to work in the US. We are unable to sponsor or take over sponsorship for any employment visas at this time.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance, Consulting, and Education

• Industries

  Staffing and Recruiting, Hospitals and Health Care, and Operations Consulting

Referrals increase your chances of interviewing at Norwood by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

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