Virtual Coding Auditor

Risk Adjustment Coding Auditor (Remote) *Location:* 100% Remote (Approved U.Employment Type:* Contract (5 Months)

*Schedule:* First Shift

Overview We 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.

Audit risk adjustment codes for accuracy, consistency, and compliance with coding guidelines and best practices

• Perform retrospective and prospective medical record reviews
• Validate diagnosis coding based on provider documentation and CMS-HCC requirements
• Identify coding and documentation gaps that impact risk adjustment reporting
• Ensure compliance with HIPAA, privacy, security, and regulatory requirements
• Provide written and verbal feedback regarding coding errors, trends, and improvement opportunities
• Support audit initiatives, production goals, and special projects
• Act as a subject matter expert on risk adjustment coding and audit practices
• Complete audit deliverables within established timelines and quality standards

5+ years of HCC coding experience utilizing inpatient and outpatient coding guidelines

• 5+ years of Risk Adjustment audit experience
• CRC (Certified Risk Adjustment Coder) certification in good standing
• Working knowledge of Medicare, ACA Commercial, and Medicaid risk adjustment models
• Experience communicating coding findings and audit outcomes to stakeholders
• Intermediate proficiency with Microsoft Office (Excel, Word, Outlook, PowerPoint)
• High School Diploma or equivalent
• Bachelor's Degree
• RHIT or RHIA certification with strong risk adjustment coding experience
• HEDIS and/or STARS experience
• RADV audit experience
• CPMA or additional coding certifications
• Experience with NLP software platforms

Risk Adjustment

• HCC Coding
• Medical Coding Audits
• Medicare Risk Adjustment
• CMS-HCC Methodology
• Fully remote position
• First shift schedule
• Potential for future extension or conversion based on business needs and performance

Interested candidates should have a strong **background** in risk adjustment auditing, HCC coding, and healthcare compliance, along with an active CRC certification.*

#Job Type & Location*This is a Contract position based out of St Paul, MN.

• available for this temporary role may include the following:
• Medical, dental & vision
• 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)
• Employee Assistance Program
• Workplace Type*This is a fully remote position.
• Application Deadline*This position is anticipated to close on Aug 14, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

• An employer who violates this law shall be subject to criminal penalties and civil liability.
• Use of Artificial Intelligence (AI):* We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.