Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Risk Adjustment Coding Auditor

$30 - $35 per hour

ClinDCast

Job Summary:
We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must be CPC and CRC certified with strong risk adjustment coding expertise and proficiency in Microsoft Office Suite.
Required Skills:
8+ years of Risk Adjustment coding and auditing experience
Experience supporting CMS RADV first- and second-pass audits
Active CPC (Certified Professional Coder) certification
Active CRC (Certified Risk Adjustment Coder) certification
Proficiency in Microsoft Office Suite (Excel, Word, Outlook)

This is a remote position.


Compensation: $30.00 - $35.00 per hour


Empowering the Future of Healthcare

The healthcare Industry is on the brink of a paradigm shift where patients are increasingly being viewed as empowered consumers, utilizing digital technologies to better understand and manage their own health. As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience.

ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Risk Adjustment Coding Auditor in United States vacancy
  • Location: Eagan, Minnesota, United StatesCompany: TEKsystemsPosted: 2026-08-10TEKsystems is seeking a Risk Adjustment Coding Auditor to ensure accuracy of coded clinical data across risk adjustment programs. This contract position, based out of Eagan, MN but fully remote... 
    Risk
    Contract work
    Remote work

    TEKsystems

    Eagan, MN
    2 days ago
  • JOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses...  ...with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate... 
    Risk
    Work at office

    CommunityCare

    Tulsa, OK
    2 days ago
  •  ...Risk Adjustment Coding Auditor Role type: Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skillset MS Suite CPC... 
    Risk

    Vytwo Technologies Inc.

    Prosper, TX
    2 days ago
  • $32 - $37 per hour

    Risk Adjustment Coding AuditorOverviewWe are seeking a detail-oriented Risk Adjustment Coding Auditor to support the accuracy, integrity, and compliance of clinical coding data across risk adjustment programs. In this role, you will conduct audits, review medical record... 
    Risk
    Contract work
    Temporary work
    Work at office
    Remote work

    TEKsystems

    Phoenix, AZ
    1 day ago
  • Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role requires conducting quality audits specific to ICD-10 code abstraction and ensuring compliance with coding standards. The ideal candidate holds a Bachelor's degree... 
    Risk
    Remote job

    Oscar Health

    Florida, NY
    1 day ago
  • Oscar Health is hiring a remote Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This role involves conducting internal and external quality audits specific to ICD-10 code accuracy. The ideal candidate will have experience in risk adjustment coding... 
    Risk
    Remote job

    Oscar Health

    New York, NY
    4 days ago
  • Oscar Health is hiring an Associate, Risk Adjustment Auditor for their Risk Adjustment team. This remote role focuses on conducting quality audits related to ICD-10 code accuracy and completeness. You will engage in audit operations and compliance, while working with the... 
    Risk
    Remote job

    Oscar Health

    Dallas, TX
    4 days ago
  • Oscar Health is hiring an Associate, Risk Adjustment Auditor to join their Risk Adjustment team. This remote position focuses on conducting quality audits specific to ICD-10 code abstraction accuracy. You will work with management to implement benchmarks and quality assurance... 
    Risk
    Remote job

    Oscar Health

    Phoenix, AZ
    4 days ago
  • $72.8k - $80k

     ...healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider... 
    Risk
    Work at office
    Remote work

    Clever Care Health Plan

    Huntington Beach, CA
    5 days ago
  •  ...Job Summary: We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must be CPC and CRC certified with strong risk adjustment coding... 
    Risk
    Work at office
    Remote work

    ClinDCast LLC

    Albany, NY
    2 days ago
  • Vytwo in Dallas, TX seeks a Risk Adjustment Coding Auditor for a 6-month engagement to support CMS RADV audit passes. The role requires a CPC and CRC certification and 5+ years of risk adjustment experience, with proficiency in MS Office. The team will run first and second... 
    Risk

    Vytwo

    Dallas, TX
    3 hours ago
  •  ...Risk Adjustment Coding Auditor Location: Remote (U.S.) Employment Type: Contract-to-Hire About the Role The Risk Adjustment Coding Auditor is responsible for ensuring the accuracy, completeness, and compliance of diagnosis coding used in risk adjustment... 
    Risk
    Contract work
    Work at office
    Remote work

    The Judge Group

    Eagan, MN
    4 days ago
  • $82.72k - $108.57k

     ...Auditor, Risk Adjustment Arizona, United States Hi, we're Oscar. We're hiring an Associate, Risk Adjustment Auditor to join our Risk Adjustment...  ...quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified... 
    Risk
    Full time
    Work experience placement
    Remote work
    Work from home
    Home office

    Oscar Health

    United States
    5 days ago
  • The Jacobson Group is seeking a Medicare risk adjustment coder to support a long-term MA risk adjustment initiative. The role involves high...  ...and requires attention to accurate, specific diagnosis coding. You will audit and validate codes, review medical documentation... 
    Risk

    The Jacobson Group

    Kansas City, MO
    3 hours ago
  • Clever Care Health Plan is hiring a Risk Adjustment Coding Auditor to conduct retrospective and prospective coding audits, validate diagnoses, and monitor CMS RADV compliance. The role focuses on HCC coding, documentation improvement, and education for providers across... 
    Risk

    Clever Care Health Plan

    Huntington Beach, CA
    3 hours ago
  • ClinDCast LLC is seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support CMS RADV first- and second-pass audits. The ideal candidate must be CPC and CRC certified with strong risk adjustment coding expertise and proficiency in Microsoft Office Suite... 
    Risk
    Remote job
    Work at office

    ClinDCast LLC

    New York, NY
    2 days ago
  • Vytwo Technologies Inc. seeks a Risk Adjustment Coding Auditor to perform first and second pass auditing for CMS RADV programs. The role supports a small team with two resources over a 6-month duration, ensuring accuracy and compliance in coding and documentation. The... 
    Risk

    Vytwo Technologies Inc.

    Prosper, TX
    2 days ago
  •  ...California, United StatesCompany: Kaiser PermanentePosted: 2026-08-10Kaiser Permanente is seeking a Compliance Specialist focused on coding functions within all settings of care to ensure alignment with national coding policies and procedures. You will assist with audit... 
    Risk

    Kaiser Permanente

    Pasadena, CA
    2 days ago
  • $35 - $38 per hour

     ...Title : Risk Adjustment Coding Auditor Location : Remote (To be eligible for this position, candidate must currently reside in one of the following states: AL, AZ, AR, CO, FL, GA, IL, IN, IA, KS, KY, MD, MI, MN, MO, MT, NV, NH, NC, ND, OK, SC, SD, TN, TX, UT, VT... 
    Risk
    Full time
    Contract work
    Remote work

    Dahl Consulting

    Remote
    17 days ago
  • $32 - $37 per hour

     ...Risk Adjustment Coding Auditor (Remote) *Location:* 100% Remote (Approved U.S. States Only) *Employment Type:* Contract (5 Months) *Schedule:* First Shift Overview We are seeking experienced Risk Adjustment Coding Auditors to support a growing healthcare organization... 
    Risk
    Contract work
    Temporary work
    Work at office
    Remote work
    Day shift
    Saint Paul, MN
    14 days ago
  •  ...of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be responsible for conducting coding audits...  ...Condition Categories (HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. Work assigned coding... 
    Risk

    TruHealth LLC

    Franklin, TN
    5 hours ago
  •  ...: 2026-08-09Alignment Health is seeking an experienced MRA Coding Auditor to support QA audits of the internal Coding Analyst Team and...  ...high-quality data submitted to CMS. The role involves risk adjustment data validation, chart reviews, and process improvements.Required... 
    Risk
    Remote work

    Alignment Healthcare

    Orange, CA
    3 days ago
  •  ...SUMMARY: Responsible for overseeing the day-to-day execution, performance, and optimization of the risk adjustment program across vendor management, medical record retrieval, coding quality, analytics, reporting, and audit readiness. This role drives process improvement,... 
    Risk

    CommunityCare

    Tulsa, OK
    1 day ago
  •  ...Supporting quality assessment audits, the full-time Certified Medicare Coding Auditor will work remotely to ensure accurate data submission to CMS, assist in risk adjustment data audits, and analyze audit results for process improvement. Key responsibilities Conducts... 
    Risk
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Distribution and performs in-depth plan coding and testing of new and existing business...  ...possible solutions to save time, reduce risk, and/or reduce expenses. Create and document...  ...helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude... 
    Risk
    Work at office

    Western Growers Health

    Irvine, CA
    2 days ago
  •  .... POSITION SUMMARY The Claims Auditor is responsible for reviewing and...  ...with plan provisions, coding standards, and company policies...  ...distance vision, and the ability to adjust focus. Travel Requirements...  ...direct threat or significant risk to the health or safety of themselves... 
    Risk
    Contract work
    Work experience placement
    Work at office
    Flexible hours

    Assured Benefits Administrators, Inc.

    El Paso, TX
    5 days ago
  •  ...vital technology platform, the full-time salaried Director of Risk Adjustment will define and execute the product roadmap, enhance...  ...value-based care, or Risk Adjustment Deep understanding of HCC coding and CMS Risk Adjustment models Experience with healthcare interoperability... 
    Risk
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    13 hours ago
  •  ...Baptist Health is seeking a Certified Professional Coder to perform medical record reviews and coding to support risk adjustment and Medicare compliance. The role involves identifying documentation gaps, communicating with providers, and ensuring accurate ICD-10-CM coding... 
    Risk

    Baptist Health

    Florida, NY
    5 days ago
  •  ...Description University Health Network is seeking a Full-Time Coding Auditor. This role requires normal business hours Monday-Friday...  ...-CM coding guidelines, AHA Coding Clinic Guidance, and CMS Risk Adjustment guidance. Performs ambulatory and inpatient coding... 
    Risk
    Full time
    Work at office
    Remote work
    Work from home
    Monday to Friday

    UNIVERSITY PHYSICIANS ASSOC INC.

    Knoxville, TN
    4 days ago
  • $130k - $150k

     ...Description Job Description: Director of Risk Adjustment ~Strategic Client Management: ~...  ...department of 70+ production coders and auditors. ~Lead the organizational design and...  ...and optimize department KPIs regarding coding/auditing accuracy, compliance, daily volume... 
    Risk
    Full time
    Work experience placement

    IKS Health

    Remote
    a month ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Risk Adjustment Coding Auditor. Be the first to apply!