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Hcc Auditor Jobs (NOW HIRING)

Datavant

Auditor, HCC Risk Adjustment Coding

$28 - $31.75/hr

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk ...

New

Datavant

Auditor, HCC Risk Adjustment Coding

$29 - $32/hr

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk ...

Datavant

Auditor, HCC Risk Adjustment Coding

Dallas, TX · Remote

$29 - $32/hr

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk ...

New

Virtix Health LLC

HCC Coding Quality Specialist

HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our ... Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as ...

Virtix Health LLC

HCC Coding Quality Specialist

HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our ... Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as ...

WhidbeyHealth

Coding Quality Auditor (RN)

Coupeville, WA · On-site

$95K - $133K/yr

HCC classifications * Validate risk adjustment accuracy, ensuring appropriate capture, abstraction ... Utilize best-in-class coding and auditing technologies, including: * 3M Encoder / 360 Encompass

WhidbeyHealth

Coding Quality Auditor (RN)

Coupeville, WA · On-site

$26.50 - $30/hr

HCC classifications * Validate risk adjustment accuracy, ensuring appropriate capture, abstraction ... Utilize best-in-class coding and auditing technologies, including: * 3M Encoder / 360 Encompass

WelbeHealth

Coding Auditor & Educator

$28 - $31.75/hr

Work closely with Coding Supervisor in identifying opportunities for HCC coding education Job ... auditing * Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care ...

Javen Technologies

$25.25 - $28.75/hr

Proficient knowledge of CMS-HCC model and guidelines * Previous experience in auditing medical records * Coding Certification required (CRC, RHIA, RHIT or similar) in good standing * ICD-10 ...

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How much do hcc auditor jobs pay per year?

As of Aug 22, 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?

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 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.

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.

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Hcc Auditor jobs near you
Infographic showing various Hcc Auditor job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 8% Part Time, 2% Contract, and 1% Nights. Highlights an 88% Physical, 5% Hybrid, and 7% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.

Auditor, HCC Risk Adjustment Coding

Datavant

Remote

$28 - $31.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Datavant rating

7.1

Company rating: 7.1 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

150th of 225 rated it services

Job description

What We're Looking For:

As an HCC (Hierarchical Condition Category) 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 play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work.

What You Will Do:

  • Audit coded charts assigned by quality supervisor per the client guidelines
  • Ability to move from different sets of client guidelines with minimal difficulty
  • Maintain a 95% quality average at a diagnosis level
  • Answer rebuttals entered on the auditor by coders and or auditors
  • Participate in weekly coding project review meetings
  • Any other tasks asked by quality supervisor

What You Need to Succeed: 

  • 2 years' HCC Coding experience
  • 2 years' HCC Auditing experience
  • Extensive knowledge of ICD -10
  • High school diploma or GED equivalent required
  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)
  • A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes
  • Ability to work in a fast-paced production environment while maintaining high quality
  • Must be able to follow instructions, meet deadlines and work independently
  • Ability to be flexible in work environment
  • Excellent written and verbal communication skills, ability to work in a remote environment and time management skills
  • Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data

What We Offer:

  • Comprehensive health, dental, and vision insurance
  • Paid time off (PTO) plan
  • Retirement savings plan
  • Flexible work arrangements
  • Opportunities for career growth and development
  • Employee wellness programs

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