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Medicare Risk Adjustment Audit Jobs in Iowa (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Des Moines, IA · On-site +1

$600 - $720/day

Familiar with HEDIS and risk adjustment workflows * Medicare and Medicaid provider enrollment required * Comfortable delivering care through telehealth platforms Nice to have * Value-based care model ...

Thedacare

Coder (Clinic - III)

Carroll, IA · On-site

$18 - $24/hr

Audits medical record documentation and educates providers on documentation improvement ... risk adjustment diagnosis) for professional services including specialty medical services, in and ...

Thedacare

Coding Educator

Carroll, IA · On-site

$26.25 - $29.75/hr

Audits medical record documentation and educates providers on documentation improvement ... risk adjustment diagnosis) for professional services including specialty medical services, in and ...

CorVel

Medical Coordinator I

Davenport, IA · On-site

$14.68 - $22.69/hr

Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Medical Coordinator I

Davenport, IA · On-site

$14.68 - $22.69/hr

Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Medical Coordinator I

Davenport, IA · On-site

$14.68 - $22.69/hr

Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Medical Coordinator I

West Des Moines, IA · On-site

$14.68 - $22.69/hr

Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering ... The level may impact the salary range and these adjustments would be clarified during the offer ...

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All JobsMedicare Risk Adjustment Audit JobsMedicare Risk Adjustment Audit Jobs in Iowa

Medicare Risk Adjustment Audit information

What is a Medicare Risk Adjustment Audit?

A Medicare Risk Adjustment Audit is a review process conducted to ensure that healthcare providers are accurately reporting patient diagnoses to Medicare Advantage plans. This audit verifies that submitted diagnoses are supported by proper medical documentation, which affects how much Medicare pays to health plans. The goal is to prevent overpayments or underpayments and to ensure compliance with federal regulations. These audits are typically performed by the Centers for Medicare & Medicaid Services (CMS) or their contractors.

What are some common challenges faced by professionals in Medicare Risk Adjustment Audit roles, and how can they be addressed?

Professionals in Medicare Risk Adjustment Audit roles often encounter challenges such as interpreting complex medical documentation, staying updated on evolving CMS guidelines, and ensuring data accuracy for compliant risk scoring. Effective collaboration with coders, providers, and compliance teams is essential to resolve discrepancies and achieve audit objectives. Staying proactive in ongoing training and leveraging audit technologies can help address these challenges and contribute to high-quality, compliant results.

What are the key skills and qualifications needed to thrive as a Medicare Risk Adjustment Auditor, and why are they important?

To thrive as a Medicare Risk Adjustment Auditor, you need expertise in medical coding, healthcare compliance, and an understanding of CMS risk adjustment guidelines, often supported by a coding certification such as CPC or CRC. Familiarity with auditing software, electronic health records (EHRs), and data analytics tools is typically required. Attention to detail, analytical thinking, and strong communication are essential soft skills for reviewing documentation and conveying findings. These skills are crucial for ensuring accurate risk adjustment coding, regulatory compliance, and optimized reimbursement for healthcare organizations.

What is the difference between Medicare Risk Adjustment Audit vs Medicare Coding Specialist?

AspectMedicare Risk Adjustment AuditMedicare Coding Specialist
Primary FocusReviewing and verifying accuracy of risk adjustment dataAssigning correct medical codes for billing and documentation
CertificationsRisk adjustment or auditing certifications often preferredMedical coding certifications like CPC or CCS
Work EnvironmentHealthcare organizations, insurance companies, auditing firmsHospitals, clinics, billing companies
Industry UsageUsed in Medicare Advantage plan compliance and reimbursementUsed in medical billing and claims processing

While both roles involve healthcare data, Medicare Risk Adjustment Auditors focus on verifying the accuracy of risk scores for Medicare payments, whereas Medicare Coding Specialists assign medical codes for billing purposes. Understanding these differences helps in choosing the right career path or job focus within the healthcare industry.

What are popular job titles related to Medicare Risk Adjustment Audit jobs in Iowa?

For Medicare Risk Adjustment Audit jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Medicare Risk Adjustment Audit jobs in Iowa look for?

The top searched job categories for Medicare Risk Adjustment Audit jobs in Iowa are:

What cities in Iowa are hiring for Medicare Risk Adjustment Audit jobs?

Cities in Iowa with the most Medicare Risk Adjustment Audit job openings:

Medicare Risk Adjustment Audit jobs near you
Infographic showing various Medicare Risk Adjustment Audit job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.

Telehealth Nurse Practitioner

Urrly

Des Moines, IA • On-site, Remote

$600 - $720/day

Part-time

Re-posted 3 days ago

Job description

Join a fast-growing virtual care team and work from home in Iowa while earning $600-$720 per day delivering telehealth visits on your schedule.Telehealth Nurse Practitioner
  • Location/Type: Iowa Remote (No travel)
  • Pay: $600-$720/day (1099 contractor, based on efficiency)
  • Schedule: Minimum 24 hours/week Flexible scheduling

Our client is a fast-growing healthcare organization supporting Medicare and Medicaid populations through virtual care.

What you'll do
  • Conduct Comprehensive Health Assessments through telehealth
  • Document HCC risk adjustment during patient visits
  • Close HEDIS (quality measures) care gaps
  • Review medical history, medications, and preventive needs
  • Document visits using ICD-10 and CPT II codes
  • Deliver clear care plans and follow-up guidance
  • Maintain accurate documentation for quality programs
Must-haves
  • Active Iowa Nurse Practitioner license
  • 1+ year Family Medicine or Internal Medicine experience
  • Experience with Medicare and Medicaid populations
  • Familiar with HEDIS and risk adjustment workflows
  • Medicare and Medicaid provider enrollment required
  • Comfortable delivering care through telehealth platforms
Nice to have
  • Value-based care model experience
  • Annual Wellness Visit experience
  • HCC risk adjustment documentation experience
Perks & pay
  • Pay: $600-$720 daily earning potential
  • 1099 contractor flexibility
  • Fully remote work from home
  • Consistent visit flow and structured workflows
  • Clear documentation processes
Schedule & setup
  • Minimum 24 hours weekly
  • Flexible scheduling based on availability
  • Fully remote telehealth delivery
  • No on-call and no travel
Impact & growth

Your work expands preventive care access for Medicare and Medicaid members.
You help close care gaps and improve quality scores across populations.

You like pace and ownership. You start, finish, follow through.

At Urrly, fairness matters. We use AI to review every application against the same clear requirements for the role. This means every candidate is evaluated on job-related factors like skills, certifications, and experience-not on personal attributes such as gender, race, age, or background. Our goal is to create a more objective, consistent, and equal opportunity hiring process for all applicants.

Apply Today to work from home in Iowa, set your own schedule, and earn $600-$720 per day delivering telehealth visits.

Employment Type: PART_TIME

Apply