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Entry Level Risk Adjustment Auditor Jobs (NOW HIRING)

Intus, Inc

Junior Coding Associate (Contractor)

$24 - $40/hr

This role is focused on accurate and compliant coding of assigned encounters under the direction of the Manager of Risk Adjustment and Encounter Coding. This is a task-oriented, entry-level role ...

Intus Care

$24 - $40/hr

This role is focused on accurate and compliant coding of assigned encounters under the direction of the Manager of Risk Adjustment and Encounter Coding. This is a task-oriented, entry-level role ...

Intus Care

$24 - $40/hr

This role is focused on accurate and compliant coding of assigned encounters under the direction of the Manager of Risk Adjustment and Encounter Coding. This is a task-oriented, entry-level role ...

Centauri Health Solutions Inc

Minimum 5 years of production coding in a risk adjustment environment. * Minimum 1-2 years of auditing other coders' work. * Minimum 1 year of experience with Complete Code Capture. * Required ...

Centauri Health Solutions Inc

Minimum 5 years of production coding in a risk adjustment environment. * Minimum 1-2 years of auditing other coders' work. * Minimum 1 year of experience with Complete Code Capture. * Required ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coder

$23 - $31.50/hr

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and ... CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are ...

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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 Aug 22, 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 August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 65% In-person, 6% Hybrid, and 29% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Consultant - Healthcare Compliance Auditor - HTS

Berkeley Research Group

Remote

Full-time

Re-posted 22 days ago

Job description

We do Consulting Differently
The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare Transactions and Strategy (HTS) group. HTS is currently seeking a Healthcare Compliance Auditor at the Consultant level.
HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors. Compliance audit deliverables include assessment of provider compliance programs and auditing of billing and coding of clinical documents and claims documents. This position requires a highly motivated problem solver with strong analytical ability, solid organizational skills, and a desire to advance within the organization. The work of a Healthcare Compliance Auditor will involve execution of engagement work streams that will primarily involve employing certified coding skills to audit provider claims and provider clinical documentation with a particular focus on government programs such as Medicare and Medicaid. Responsibilities include working with team to develop audit specifications, expert analysis of healthcare claims and supporting documentation, quality control, and development of client deliverables.
The work of a Consultant involves execution of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: billing and coding audits, compliance program review, quality control, development of client deliverables, and industry research.
This specific position will require knowledge of medical coding and compliance, and potential candidates must have medical auditing expertise. Job title and compensation to be determined based on qualifications and experience.
Job Responsibilities:
  • Plan and perform medical record audits to determine coding accuracy and compliant claims submission.
  • Develop coding and documentation audit methodology using knowledge of key risk areas in coding and documentation compliance
  • Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines
  • Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicates the audit findings and recommended areas for improvement
  • Serve as a subject matter expert on interpretation and application of coding and documentation guidelines
  • Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas
  • Stay current on coding guidelines.
  • Develop analyses using transactional data and/or financial data
  • Generate client deliverables and make valuable contributions to expert reports
  • Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions
  • Participate in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting
  • Prioritize assignments and responsibilities to meet goals and deadlines.

Qualifications:
  • 4-year degree (BS or BA)
  • Active coding certification from either AAPC (CPC, CPMA) or AHIMA (CCC-P, AOC) is required; Do not desire risk adjustment certifications (CRC, RAC) or experience. Do not desire inpatient hospital certifications (CIC, CCS) or experience.
  • Preference will be given to candidates that are certified in medical auditing.
  • 2+ years of work experience with a focus on healthcare provider billing and coding; Less than 10 years preferred.
  • Preference will be given to candidates that are experienced with physician practice coding (e.g. primary care, dermatology, orthopedics, ophthalmology), ASC coding, and/or post-acute coding (e.g. hospice, home health, SNFs).
  • Preference will be given to candidates that have previously worked in a consulting firm environment in which their duties included auditing providers or providing audits associated with transactional diligence.
  • Preference will be given to candidates who have worked in a role at a health plan auditing and reviewing providers in that plan's network.
  • Comprehensive knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation.
  • Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements.

Required skills include:
  • Demonstrated ability to interpret national coding and documentation guidelines and translate them into effective auditing practices and tools; identify issues in coding and documentation practices and recommend corrective action; develop reports, track, and trend audit findings and results.
  • Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required, as is the ability to train others to use such tools.
  • Commitment to producing high quality analysis and attention to detail.
  • Excellent time management, organizational skills, and ability to prioritize work and meet deadlines.
  • Keen interest in healthcare compliance and healthcare policy.
  • Exceptional verbal and written communication skills.
  • Desire to work within a team environment.
  • Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship.

Consultant Salary Range: $70,000 - $150,000
Candidate must be able to submit verification of legal right to work in the U.S., without company sponsorship.
About BRG
BRG combines world-leading academic credentials with world-tested business expertise and purpose-built emerging technologies. Our culture centers on agility and connectivity which sets us apart and gets you ahead.
At BRG, our professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of real-world experience, data, and human and artificial intelligence, to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges facing organizations across the globe.
Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking. When paired with our global reach and resources, our diverse perspectives and technical capabilities make us uniquely capable to address our clients' challenges. We get results because we know how to apply our thinking to your world.
At BRG, we don't just show you what's possible. We're built to help you make it happen.
BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

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