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Hcc Auditor Jobs (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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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 Sep 15, 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:

What are popular job titles related to Hcc Auditor jobs?

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Infographic showing various Hcc Auditor job openings in the United States as of September 2026, with employment types broken down into 91% Full Time, 6% Part Time, 2% Contract, and 1% Nights. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.

Auditor, HCC Risk Adjustment Coding

Honolulu, HI • On-site

Datavant
Software Development • 51 - 200 employees

$29 - $32/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago


Datavant rating

7.1

Company rating: 7.1 out of 10

Based on 103 frontline employees who took The Breakroom Quiz


Job description

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.

By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

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

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.

The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is:

$29-$32 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your Rights (https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal) , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (https://peopleteam.datavant.com/portal/en/newticket?departmentId=248697000248790029&layoutId=248697000248795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (https://app.tango.us/app/workflow/Greenhouse--Locating-Requisition-ID-2c7d618c8a8a423da4330ff12330695e) . Requests for reasonable accommodations will be reviewed on a case-by-case basis.

For more information about how we collect and use your data, please review our Privacy Policy (https://www.datavant.com/privacy-policy) .


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