Offshore Risk Manager

New

Skills

Auditing Compliance Training
Job Overview

As a Manager of Offshore Risk Adjustment, you will be responsible for overseeing offshore coding teams, monitoring performance, and ensuring compliance with regulations and policies.

Responsibilities
  • Manage onboarding and training of offshore coding teams
  • Monitor offshore team performance, coding quality, and pace
  • Oversee volume pacing and quality scoring for offshore RA activities
  • Act as the primary liaison between offshore teams and onshore leadership
  • Evaluate medical records and ICD-10-CM; conduct routine audits
Requirements & Qualifications
  • 5+ years in RA coding and auditing
  • 3+ years Subject Matter Expertise (SME) in Medicare Advantage and ACA RA
  • 1+ year training or mentoring RA Coders/Auditors
  • 2+ years experience with EHRs and CCDs
  • Certified Professional Coder (CPC)

No forms. Your profile is generated instantly.

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: 12 Months

Share this job:

Similar Jobs

Gaming Support Agent

Posted 76 days ago

Handle customer support for a game studio

Assist players with technical and account issues

Account management Android Communication Communication Skills

Multinational Customer Support Agent

Posted 76 days ago

Provide customer service for multinational companies

Engage with customers through various channels

Android Communication Skills Customer Service Email Support

Compliance Engineering Manager

Posted 76 days ago

Lead a team focused on compliance with global financial regulations in the Payments space

Collaborate extensively with cross-functional teams to ensure compliance is integrated throughout the platform

Architecture Communication Compliance Cross-functional Collaboration

Indirect Tax Compliance Associate

Posted 76 days ago

Ensure global compliance with indirect tax regulations

Streamline VAT and Tourist Tax processes

Accounting Audit Compliance Data Analysis

KYB & KYV Compliance Lead

Posted 76 days ago

Lead KYB & KYV Compliance Operations

Enhance Risk and Compliance Procedures

Audit Compliance Data Analysis Elliptic

Legal Counsel, Fintech Remote

Posted 76 days ago

Provide comprehensive legal support across business functions

Ensure compliance in commercial and product operations

Compliance Corporate Governance Regulatory Compliance

KYB & KYV Sr. Analyst

Posted 76 days ago

Enhancing risk and compliance operations in the fintech industry

Leading KYB onboarding and vendor due diligence

Analyst Automation Compliance Data Analysis

Regional Compliance Officer

Posted 76 days ago

Lead regional compliance oversight for Airtm in India.

Implement and monitor AML/CFT measures for the region.

Anti-money Laundering Audit Communication Compliance

Legal Counsel - Airtm

Posted 76 days ago

Provide legal counsel on high-profile projects

Draft and negotiate contracts with various partners

Compliance Corporate Governance Licensing Project Management

KYB Compliance Analyst

Posted 76 days ago

Enhance risk and compliance operations

Ensure audit readiness and regulatory compliance

Analyst Automation Compliance Elliptic

Compliance Program Director

Posted 76 days ago

Lead and shape Alma's compliance program

Ensure alignment with industry regulations

Communication Compliance Director Documentation

Remote Legal Operations Manager

Posted 76 days ago

Hire a remote Legal Operations Manager

Enhance legal process efficiency

Compliance Contract Management Legal Process Improvement

Customer Success Manager

Posted 76 days ago

Primary point of contact for Aurora Cloud clients and Partners

Onboarding clients and driving adoption

Account management Account manager Analytics Apis

Partner Manager - Automattic for Agencies

Posted 76 days ago

Strategically execute growth strategy by developing relationships with digital agencies

Drive sales of Automattic products through partner channels

Account manager Analytics Business Development Communication

Senior Total Rewards Analyst

Posted 76 days ago

Recruit a remote Senior Total Rewards Analyst

Develop and administer compensation and benefits programs

Compliance Data Analysis Excel People Operations

Compliance Analyst Lead

Posted 76 days ago

Ensure high-quality onboarding for charities and campaigns

Safeguard JustGiving from financial crime risks

Analyst Compliance Data Analytics Documentation

Customer Success Staff

Posted 76 days ago

Drive platform adoption and retention

Develop customer success plans

Analytics Communication Customer success Marketing

Payroll Analyst Position

Posted 76 days ago

Manage end-to-end payroll processing for employees in India

Ensure compliance with Indian labor and tax laws

Analyst Communication Compliance Data Analysis

Enterprise Risk Management Analyst

Posted 76 days ago

Develop and operationalize enterprise risk management programs

Assess and monitor enterprise-wide risks and internal controls

Analyst Communication Compliance Documentation

Manager, Mid-Market Customer Success

Posted 76 days ago

Hiring a Manager for Mid-Market Customer Success.

Full-time remote position in the United States.

Account management Communication Skills Customer success Interpersonal Skills

Brooklyn Liquor Store Manager

Posted 76 days ago

Lead warehouse operations, Improve KPIs, Drive financial performance, Ensure compliance, Develop

m

Budgeting Compliance Conflict resolution Financial Management

Travel Operations Specialist

Posted 76 days ago

Ensure smooth travel arrangements for global colleagues and guests

Manage vendor relationships and hold them accountable for service quality

Adaptability Communication Communication Skills Compliance

Travel Ops Specialist

Posted 76 days ago

Hiring Travel Operations Specialists to manage global travel for colleagues and guests

Ensuring smooth travel logistics for company meetings and industry events

Communication Compliance Continuous improvement Data Analysis

Travel Operations Specialist Role

Posted 76 days ago

Ensure seamless global travel operations

Support distributed teams and event logistics

Communication Communication Skills Compliance Continuous improvement

Associate Payroll & Billing Specialist

Posted 76 days ago

Assist billing team in processing and invoicing payroll & expenses

Generate bills for clients based on consultant invoices

Accounting Billing Communication Compliance

Payroll & Billing Specialist

Posted 76 days ago

Assist with payroll processing and billing for global clients

Generate bills based on contractor invoices

Accounting Analytical Skills Billing Communication

Finance Associate Opportunity

Posted 76 days ago

Maintain accurate general ledger and financial records

Execute timely month-end close and reporting activities

Accounting Communication Compliance Excel

Senior Compliance Manager USA

Posted 76 days ago

Hire a Senior Compliance Manager

Promote remote work flexibility

Compliance Compliance Management Data Privacy GDPR

Remote Marketing & Communications Role

Posted 76 days ago

Remote marketing & communications role with flexible autonomy

Sharing educational resources for personal and professional development online

Communication Skills Content Marketing Digital Communication Digital Marketing

HR Shared Services Manager

Posted 76 days ago

Hiring a Manager for HR Shared Services

Remote contract position

Collaboration Communication Compliance Employee Relations

Sales Partner Development Associate

Posted 76 days ago

Identify potential clients for offshore hiring services

Make introductions to internal sales team

B2b Business Business Development Communication Skills

Senior Counsel - Employment Compliance

Posted 76 days ago

Lead global employment and compliance strategy

Spearhead Future of Work in AI

Analytical Skills Communication Communication Skills Compliance

Senior GRC Security Engineer

Posted 76 days ago

Develop and manage GRC programs

Ensure regulatory and security compliance

Compliance Engineer Go Linux

Senior Finance Associate

Posted 76 days ago

Manage financial operations for India Office

Ensure accurate bookkeeping and financial transactions

Accounting Banking Communication Compliance

Finance Director - India

Posted 76 days ago

Direct and oversee financial operations of India office

Ensure compliance with accounting standards and regulations

Accounting Analytical Skills Auditing Budgeting

Exchange Operations Manager

Posted 76 days ago

Manage team overseeing spot, margin, and derivatives markets

Implement and define processes across all products

Automation Compliance Cryptocurrency Customer Support

Remote Legal Jobs

Posted 76 days ago

Provide remote legal job opportunities.

Require expertise in legal research and writing.

Analytical Skills Compliance Contract Law Critical Thinking

Global Payroll Operations Manager

Posted 76 days ago

Manage and optimize payroll operations globally.

Ensure compliance with local and global regulations.

Analytical Skills Communication Skills Compliance

Tax Manager Role

Posted 76 days ago

Lead tax operations team with ownership and mentorship, Ensure tax compliance and regulatory

ce, Simplify and optimize tax workflows, Collaborate cross-functionally for efficiency, Build

Communication Skills Compliance Data Analytics Leadership

Fiat Business Development Manager

Posted 76 days ago

Client Acquisition & Growth Strategy Relationship Management & Retention Partnerships & Market

sion Trading & Liquidity Management Compliance & Risk

Business Development Compliance Crm systems Data Analysis

Senior Accounting Manager

Posted 76 days ago

Prepare and review financial statements|Assist with closing processes|Reconcile balance sheets and

ccounts|Support audits|Identify process

Analysis Auditing Budgeting Compliance

Content Management Specialist

Posted 76 days ago

Lead completion of InfoSec and Privacy requests, Maintain product information knowledge base,

orate with product teams on content creation, Format and edit content for accuracy, Manage multiple

Compliance Content management Data Privacy

Implementation Manager

Posted 76 days ago

- Manage end-to-end implementation projects - Coordinate with internal and external stakeholders -

rovide training for successful product adoption - Monitor project progress and provide feedback for

Agile Customer success Market Research Project Management