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Hcc Auditor Jobs (NOW HIRING)

Virtix Health LLC

HCC Coding Quality Specialist (Auditor)

OR · Remote

$27.25 - $31/hr

HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our HCC coded records, specifically those that map to HCCs and RxHCCs. Auditors will support their ...

Regal Medical Group

SR. HCC Coder

West Hills, CA · On-site

$30 - $33/hr

The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding ...

Trinity Health

Coding Auditor

Modesto, CA · On-site

$1.04K/wk

Works closely with direct manager in identifying opportunities for HCC coding education. * Complete ... auditing. * Minimum of two years' of Risk Adjustment (HCC) coding experience in a managed care ...

Regal Medical Group, Inc.

$33 - $36/hr

The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding ...

Regal Medical Group, Inc.

$25 - $27/hr

The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding ...

CommonSpirit Health

$28 - $31.75/hr

The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote quality ... The Sr Coding Compliance Auditor's primary focus will be to facilitate and ensure the comprehensive ...

CommonSpirit Health

Sr Coding Compliance Auditor

Chattanooga, TN · Remote

$24.75 - $28.25/hr

The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote quality ... The Sr Coding Compliance Auditor's primary focus will be to facilitate and ensure the comprehensive ...

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$38.5K

$92.8K

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How much do hcc auditor jobs pay per year?

As of May 31, 2026, the average yearly pay for hcc auditor in the United States is $92,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What is an HCC Auditor job?

An HCC Auditor reviews medical records to ensure accurate Hierarchical Condition Category (HCC) coding for risk adjustment purposes. They verify that diagnoses are properly documented and supported to comply with CMS guidelines. Their work helps healthcare organizations receive appropriate reimbursements and maintain compliance with federal regulations. Additionally, HCC Auditors may provide education to coders and healthcare providers on best documentation practices.

What are the key skills and qualifications needed to thrive in the Hcc Auditor position, and why are they important?

To thrive as an HCC Auditor, you need in-depth knowledge of medical coding, risk adjustment processes, and healthcare compliance, often supported by a certification such as CPC, CRC, or CCS. Familiarity with electronic health records (EHR) systems, coding software, and risk adjustment databases is also crucial. Strong analytical thinking, attention to detail, and excellent communication skills enable you to review charts accurately and collaborate with healthcare providers. These abilities are essential to ensure proper risk adjustment, maximize reimbursement, and support regulatory compliance in healthcare organizations.

What are the typical daily responsibilities of an HCC Auditor?

As an HCC Auditor, your day-to-day responsibilities typically include reviewing medical records and coding documentation for accuracy, identifying and validating Hierarchical Condition Category (HCC) codes, and ensuring that patient data aligns with regulatory standards. You may also provide feedback and education to healthcare providers to improve documentation practices and address discrepancies. Collaboration with coding teams, compliance staff, and clinical personnel is common to ensure cohesive and accurate risk adjustment reporting. This role often involves working with both electronic systems and paper records, requiring a detail-oriented and methodical approach.
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Hcc Auditor jobs near you
Infographic showing various Hcc Auditor job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 61% Full Time, 25% Part Time, 1% Temporary, 10% Contract, and 2% Nights. Highlights an 93% Physical, and 7% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.
HCC Coding Quality Specialist (Auditor)

HCC Coding Quality Specialist (Auditor)

Virtix Health LLC

Remote

$28 - $31.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 27 days ago

Job description

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our HCC coded records, specifically those that map to HCCs and RxHCCs. Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. Global experience is beneficial.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
This is a remote position.
Location: Remote within US only
The ideal candidate will have at least 2 years of recent HCC Auditing experience in addition to 3 years of recent HCC/RA coding experience. You will be auditing the global team of Risk Adjustment coders.
All HCC/Risk Adjustment auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, CCS, or CCS-P AND have at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience preferred.
Job Summary:
  • Ensure that the codes captured are supported by the documentation within the record and are properly coded following Medicare guidelines, ICD-10-CM guidelines as well as client specific guidelines for the project.
  • Support your findings in a way the coder can easily identify and learn from the error.
  • Have strong and professional communication skills.
  • Be a resource for HCC coding team members by having a deep understanding of the project and coding guidelines.
  • Follow Risk Adjustment Data Abstraction Rules.
  • Assist with the creation of PowerPoints presentations for training purposes.
  • Will be required to maintain a quality score of 95% or higher.
  • Will be required to maintain an ongoing productivity level based on project requirements.
  • Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
  • Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program.
  • Comply with all internal policies and procedures.
  • Regular, predictable, and punctual attendance is required.

Qualifications:
  • All auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, CCS, or CCS-P.
  • Must have at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience preferred.
  • Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.

What we offer:
  • Remote Work from home (within the U.S. ONLY). You need a HIPAA compliant home office, high-speed secure internet connection, equipment will be provided.
  • Flexible scheduling after training, quality and productivity goals are met.
  • Full-time (40 hours/week) you MUST be available for full time hours.
  • Benefits: Accrued PTO, Paid Holidays, Medical/Dental/Vision Insurance, 401k, CEUs and more!
  • Competitive hourly salary commensurate with experience.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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