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Clinical Performance Auditor Jobs (NOW HIRING)

Hologic, Inc.

WI · On-site

$138K - $230K/yr

As a Corporate Quality and Clinical Auditor, you will support company-wide clinical quality and ... ISO 20916:2019 - In vitro diagnostic medical devices - Clinical performance studies using specimens ...

CGI Inc.

Clinical Nurse Auditor

Atlanta, GA · On-site

As a Clinical Nurse Auditor, you will leverage your critical thinking, clinical expertise, and ... To support the ability to reward for merit based performance, CGI typically does not hire ...

Cotiviti

Auditor Clinical Validation DRG

$45.67/hr

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient ... Integrates medical chart coding principles, clinical guidelines and objectivity in performance of ...

Cotiviti

Auditor Clinical Validation DRG

$45.67/hr

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient ... Integrates medical chart coding principles, clinical guidelines and objectivity in performance of ...

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How much do clinical performance auditor jobs pay per year?

As of Sep 13, 2026, the average yearly pay for clinical performance auditor in the United States is $96,238.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,000.00 and $109,500.00 per year, depending on experience, location, and employer.

What cities are hiring for Clinical Performance Auditor jobs?

Cities with the most Clinical Performance Auditor job openings:

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Infographic showing various Clinical Performance Auditor job openings in the United States as of June 2026, with employment types broken down into 17% As Needed, 8% Full Time, and 75% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $96,238 per year, or $46.3 per hour.

Auditor, Risk Adjustment Data Validation

San Antonio, TX • Remote

University Health
See more jobs at University Healthexternal

Full-time

Re-posted 29 days ago

University Health System (San Antonio) rating

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

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)

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