ZipRecruiter

Log In

1

Assistant Risk Adjustment Auditor Jobs (NOW HIRING)

TEKsystems

Risk Adjustment Coding Auditor

Saint Louis, MO · Remote

$32 - $37/hr

The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role ...

Molina Healthcare

Auditor, Risk Adjustment (Remote)

$49K - $107K/yr

Job Summary Provides audit support for Molina enterprise risk adjustment activities. Responsible for developing, recommending and implementing controls and cost-effective approaches to minimize the ...

Aquity Solutions

Director Risk Adjustment - Remote

$130K - $150K/yr

Director of Risk Adjustment About IKS Health For more information, visit: www.ikshealth.com IKS ... Directly manage a department of 70+ production coders and auditors. Lead the organizational design ...

Medix

Risk Adjustment Director

Scotts Valley, CA · On-site

$96.15 - $120.19/hr

Build the roadmap for the health plan's risk adjustment goals to improve data collection, reporting, and auditing. * Track risk scores and work closely with Actuaries and Financial Planning ...

Stanford Health Care

Sr Risk Adjustment Coder

Newark, NJ

$44.13 - $57.36/hr

The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and ... and assist with implementing privacy policies. * Maintain current knowledge of risk adjustment ...

Sentara Health

Risk Adjustment Coder

Virginia Beach, VA · Hybrid

$10K/mo

Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting ... Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a ...

previous pagenext page

Showing results 21-40

All JobsRisk Adjustment Auditor JobsAssistant Risk Adjustment Auditor Jobs

Assistant Risk Adjustment Auditor information

What cities are hiring for Assistant Risk Adjustment Auditor jobs? Cities with the most Assistant Risk Adjustment Auditor job openings:
What are the most commonly searched types of Risk Adjustment Auditor jobs? The most popular types of Risk Adjustment Auditor jobs are:
What states have the most Assistant Risk Adjustment Auditor jobs? States with the most job openings for Assistant Risk Adjustment Auditor jobs include:
Assistant Risk Adjustment Auditor jobs near you

Auditor, Risk Adjustment Data Validation

University Health

San Antonio, TX • Remote

$22.10 - $38.25/hr

Full-time

Posted 24 days ago

University Of Nevada (Reno) rating

8.5

Company rating: 8.5 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

80th of 617 rated colleges and universities

Job description

POSITION SUMMARY/RESPONSIBILITIES

The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed audits, analyzing data, and collaborating with providers and internal teams to support Hierarchical Condition Categories (HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized reports based on data analysis and provides actionable recommendations to enhance operational and clinical performance. Additionally, the position assists in managing data collection processes and develops procedures for monitoring, validating, and reconciling data for accuracy. Working closely with cross-functional teams, the auditor supports compliance, quality assurance, and risk mitigation strategies while contributing to the development of tools and processes to improve coding accuracy and audit efficiency.

EDUCATION/EXPERIENCE

Bachelor’s degree required. Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a willingness to obtain certification within 6–12 months of hire. Applicants should have 1–2 years of healthcare experience; prior coding experience is preferred. Strong analytical and problem-solving skills, coupled with attention to detail, are essential. Candidates must possess the ability to learn and apply ICD-10-CM coding principles, exhibit excellent communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.

LICENSURE/CERTIFICATION

Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Risk Adjustment Coder-CRC)

What University Of Nevada (Reno) employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply