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Hcc Auditor Jobs (NOW HIRING)

$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 ...

Clinical Auditor

Lancaster, CA · On-site

$23.35 - $31.10/hr

High Desert Medical Group is seeking a full time Clinical Auditor for our Living Well Resource ... HCC) diagnoses. * Assist with scheduling so that all Senior Wellness visits are scheduled to ...

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Hcc Auditor information

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$38.5K

$92.8K

$151K

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.

What cities are hiring for Hcc Auditor jobs?

Cities with the most Hcc Auditor job openings:

What are the most commonly searched types of Hcc Auditor jobs?

The most popular types of Hcc Auditor jobs are:

What states have the most Hcc Auditor jobs?

States with the most job openings for Hcc Auditor jobs include:

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, Risk Adjustment Data Validation

University Health

San Antonio, TX • Remote

Full-time

Re-posted 7 days ago


University Of Nevada (Reno) rating

8.5

Company rating: 8.5 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

82nd of 621 rated colleges and universities


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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