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Entry Level Risk Adjustment Auditor Jobs (NOW HIRING)

Datavant

Auditor, HCC Risk Adjustment Coding

Boise, ID · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Providence, RI · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Des Moines, IA · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Denver, CO · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Cheyenne, WY · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Lansing, MI · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Albany, NY · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Phoenix, AZ · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Montgomery, AL · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Dallas, TX · Remote

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Lincoln, NE · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Frankfort, KY · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Harrisburg, PA · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

Datavant

Auditor, HCC Risk Adjustment Coding

Salem, OR · On-site

$29 - $32/hr

... Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will ...

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Entry Level Risk Adjustment Auditor information

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$30.5K

$72.6K

$117.5K

How much do entry level risk adjustment auditor jobs pay per year?

As of Sep 15, 2026, the average yearly pay for entry level risk adjustment auditor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is the difference between Entry Level Risk Adjustment Auditor vs Risk Adjustment Analyst?

AspectEntry Level Risk Adjustment AuditorRisk Adjustment Analyst
CertificationsTypically requires certifications like CPC, CCS, or RHITOften requires similar certifications, with some roles preferring advanced credentials
Work EnvironmentPerforms audits in healthcare settings, insurance companies, or remoteAnalyzes data and reports in healthcare or insurance offices
Employer & Industry UsageCommon in health insurance companies, healthcare providers, and consulting firmsFound in insurance companies, healthcare organizations, and analytics firms

Both roles involve working with healthcare data and require similar certifications. The main difference is that Entry Level Risk Adjustment Auditors focus on reviewing and auditing medical records for compliance, while Risk Adjustment Analysts analyze data trends to improve risk models. The roles often overlap in industry and work environment, but auditors are more compliance-focused, whereas analysts emphasize data analysis and reporting.

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Entry Level Risk Adjustment Auditor jobs near you
Infographic showing various Entry Level Risk Adjustment Auditor job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

HEALTH CODER - HCC & RISK ADJUSTMENT

Burlingame, CA • Remote

NORTH EAST MEDICAL SERVICES
Health Care and Social Assistance • 51 - 200 employees
Learn more about NORTH EAST MEDICAL SERVICESexternal

$42.79 - $48.75/hr

Full-time

Re-posted yesterday

Job description

The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization’s quality outcomes and financial performance.

ESSENTIAL JOB FUNCTIONS:

  • HCC Coding and Risk Adjustment (RA) Program Support
    • Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
    • Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance.
    • Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy.
  • Provider Training and Clinical Documentation Improvement (CDI)
  • Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding.
  • Provide one-on-one and group training to providers and clinical staff to improve documentation quality and accuracy.
  • Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards.
  • Data Analysis and Reporting
    • Analyze coding data to identify trends, documentation gaps, and opportunities for improvement.
    • Generate reports and dashboards to track coding performance and documentation accuracy.
    • Collaborate with the Quality and Analytics teams to optimize risk adjustment processes.
  • Compliance and Continuous Improvement
    • Stay up to date with changes in coding, risk adjustment, and Medicare regulations.
    • Assist in the development and implementation of internal coding policies and procedures.
    • Participate in quality improvement initiatives related to coding and documentation.
    • Performs other job duties as required by manager/supervisor
  • Education & Certification:
    • BS/BA Degree in Health Science or General Education is required. 
    • Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent coding certification is required.
    • Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred.
  • Experience:
    • Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare Advantage programs.
    • Experience in provider education, clinical documentation improvement (CDI), and chart audits.
    • Previous experience working in an IPA, managed care organization, or similar setting is strongly preferred.
  • Skills & Competencies:
    • Excellent communication, presentation, and interpersonal skills.
    • Strong understanding of CMS guidelines for Medicare Advantage and risk adjustment program.
    • Exceptional knowledge of ICD-10-CM coding and HCC risk adjustment coding methodologies.
    • Proficiency in electronic health records (EHR) and coding software.
    • Strong analytical and problem-solving skills.

LANGUAGE:

  • Must be able to fluently speak, read and write English.
  • Fluency in other languages is an asset.

STATUS:

  • This is an FLSA Non-exempt position.
  • This is not an OSHA high-risk position.
  • This a full-time position. 

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