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Hcc Auditor Jobs (NOW HIRING)

High Desert Medical Group

Clinical Auditor

Lancaster, CA · On-site

$21.32 - $28.42/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 ...

VMG Health

Medical Coding/Compliance Auditor

Requirements VMG Health is seeking a Coding/Compliance Auditor to perform all levels of ... CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required.

WVU Medicine

Professional Coding Auditor-Educator

$28 - $31.75/hr

EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...

WVU Medicine

Professional Coding Auditor-Educator

$28 - $31.75/hr

EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...

WVU Medicine

Professional Coding Auditor-Educator

$28 - $31.75/hr

EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...

WVU Medicine

Professional Coding Auditor-Educator

$28 - $31.75/hr

EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...

PruittHealth

Compliance Auditor - Nurse

Norcross, GA · On-site

The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC), Hospice, Home Health and/or SOURCE/CCSP service ...

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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 Jul 13, 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 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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What cities are hiring for Hcc Auditor jobs? Cities with the most Hcc Auditor job openings:
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Hcc Auditor jobs near you
Infographic showing various Hcc Auditor job openings in the United States as of July 2026, with employment types broken down into 83% Full Time, 14% Part Time, 2% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.
Compliance Coding Auditor

Compliance Coding Auditor

Sentara Healthcare

Norfolk, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Sentara Health rating

6.9

Company rating: 6.9 out of 10

Based on 391 frontline employees who took The Breakroom Quiz

446th of 882 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Compliance Coding Auditor
Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.
Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year.
All queries arising from the audit process are managed by the Compliance Auditor. Follows audit plan, completing numerous audits and providing follow-up to coders, management, and physicians. Looks for new problem areas, trends, etc., and advises Manager of Audit and Coding Compliance. Works with leadership regarding scheduling of internal and external audits.
Education
  • Associate Level degree preferred but required

Certification/Licensure
  • CPC or CCS certification (Required)

Experience
  • 4+ years of experience with multi-specialty coding (Required)
  • 4+ years of experience with acute care outpatient coding (Required)
  • Professional fee coding experience (Required)

Remote work opportunity preferred candidates in the Virginia/North Carolina geographic location
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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