Coding Auditor

Risk Adjustment Coding Auditor (Remote)Location: 100% Remote (Approved U.S. States Only)Employment Type: Contract (5 Months)Schedule: First ShiftOverviewWe are seeking experienced Risk Adjustment Coding Auditors to support a growing healthcare organization during a high-volume operational period. This role is ideal for professionals with deep expertise in HCC coding, risk adjustment auditing, and regulatory compliance who thrive in a production-driven environment.This position offers the opportunity to work remotely while contributing to the accuracy, integrity, and compliance of risk adjustment programs that support quality healthcare outcomes and reimbursement processes.Key ResponsibilitiesAudit risk adjustment codes for accuracy, consistency, and compliance with coding guidelines and best practicesPerform retrospective and prospective medical record reviewsValidate diagnosis coding based on provider documentation and CMS-HCC requirementsIdentify coding and documentation gaps that impact risk adjustment reportingEnsure compliance with HIPAA, privacy, security, and regulatory requirementsProvide written and verbal feedback regarding coding errors, trends, and improvement opportunitiesSupport audit initiatives, production goals, and special projectsAct as a subject matter expert on risk adjustment coding and audit practicesComplete audit deliverables within established timelines and quality standardsRequired Qualifications7+ years of relevant professional experience5+ years of HCC coding experience utilizing inpatient and outpatient coding guidelines5+ years of Risk Adjustment audit experience1+ year working in a production-based environmentCRC (Certified Risk Adjustment Coder) certification in good standingWorking knowledge of Medicare, ACA Commercial, and Medicaid risk adjustment modelsExperience communicating coding findings and audit outcomes to stakeholdersIntermediate proficiency with Microsoft Office (Excel, Word, Outlook, PowerPoint)Strong analytical, organizational, and critical thinking skillsHigh School Diploma or equivalentAuthorized to work in the United States without sponsorshipPreferred QualificationsBachelor's DegreeRHIT or RHIA certification with strong risk adjustment coding experienceHEDIS and/or STARS experienceProvider education experienceRADV audit experienceCPMA or additional coding certificationsExperience with NLP software platformsPreferred SkillsRisk AdjustmentHCC CodingMedical Coding AuditsHealthcare ComplianceMedicare Risk AdjustmentDocumentation ReviewCMS-HCC MethodologyClinical Documentation ImprovementWork EnvironmentFully remote positionFirst shift scheduleCollaborative healthcare-focused team environmentPotential for future extension or conversion based on business needs and performanceEligible StatesArizona, Arkansas, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, and Wisconsin.Pay and BenefitsThe pay range for this position is $32.00 - $37.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)Application DeadlineThis position is anticipated to close on Aug 14, 2026.