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Per Diem Risk Adjustment Auditor Jobs (NOW HIRING)

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee ... Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience Bonus points:

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee ... Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience Bonus points:

Oscar Health

Auditor, Risk Adjustment

Atlanta, GA · Remote

$82K - $108K/yr

The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee ... Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience Bonus points:

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee ... Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience Bonus points:

Regal Medical Group, Inc.

$25 - $27/hr

Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and ... per hour; however, base pay offered may vary depending on multiple individualized factors ...

Regal Medical Group, Inc.

$33 - $36/hr

Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and ... per hour, depending on experience. However, the base pay offered may vary depending on multiple ...

Strive Health

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

What You'll Do The Coder, Risk Adjustment Coding is responsible for supporting the Strive ... From AAPC or AHIMA. * 5+ years combined of related education, coding/auditing experience, or ...

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All JobsPer Diem Risk Adjustment Auditor Jobs

Per Diem Risk Adjustment Auditor information

See salary details

$10

$19

$46

How much do per diem risk adjustment auditor jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for per diem risk adjustment auditor in the United States is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $19.23 per hour, depending on experience, location, and employer.

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

To thrive as a Per Diem Risk Adjustment Auditor, you need a strong understanding of medical coding, healthcare regulations, and risk adjustment standards, typically supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, risk adjustment software, and data analytics tools is commonly required. Attention to detail, analytical thinking, and excellent communication skills make someone stand out in this position. These competencies ensure accurate coding, regulatory compliance, and optimal reimbursement for healthcare organizations.

Which auditor has the highest salary?

Per Diem Risk Adjustment Auditors' salaries vary based on experience, location, and employer, but senior auditors or those with specialized certifications tend to earn the highest wages. Typically, auditors with extensive experience and advanced skills in coding and compliance can command higher pay, often exceeding standard rates for entry-level positions.

What is a Per Diem Risk Adjustment Auditor?

A Per Diem Risk Adjustment Auditor is a healthcare professional who reviews medical records on a flexible, as-needed basis to ensure diagnoses are accurately documented for risk adjustment purposes. Their primary goal is to verify that health plans receive appropriate funding based on the health status of their members, as captured through coding and documentation. These auditors often work remotely or travel to provider sites and are typically compensated per day or per project, rather than as full-time employees. They play a vital role in helping healthcare organizations comply with regulations and optimize reimbursement.

What are some common challenges faced by Per Diem Risk Adjustment Auditors, and how can they be effectively managed?

Per Diem Risk Adjustment Auditors often face challenges such as adapting quickly to varying workflows across different healthcare organizations, staying updated on frequent regulatory changes, and managing fluctuating work volumes based on audit demand. Effectively managing these challenges involves maintaining strong organizational skills, proactively seeking out continuing education on coding guidelines, and communicating regularly with team leads to clarify expectations. Building a network of professional peers can also provide valuable support and insights when navigating complex cases.

What is the difference between Per Diem Risk Adjustment Auditor vs Per Diem Claims Auditor?

AspectPer Diem Risk Adjustment AuditorPer Diem Claims Auditor
CertificationsTypically requires healthcare auditing or risk adjustment certificationsOften requires claims processing or insurance certifications
Work EnvironmentHealthcare facilities, insurance companies, or risk adjustment organizationsInsurance companies, healthcare payers, or claims processing centers
Industry UsageUsed mainly in healthcare risk adjustment and complianceUsed primarily in claims review and reimbursement processes

The main difference is that Per Diem Risk Adjustment Auditors focus on evaluating healthcare data for risk adjustment purposes, ensuring compliance with regulations. In contrast, Per Diem Claims Auditors review insurance claims for accuracy and proper reimbursement. Both roles require healthcare or insurance knowledge but serve different functions within the healthcare and insurance industries.

More about Per Diem Risk Adjustment Auditor jobs
What cities are hiring for Per Diem Risk Adjustment Auditor jobs? Cities with the most Per Diem Risk Adjustment Auditor job openings:
What are the most commonly searched types of Risk Adjustment Auditor jobs? The most popular types of Risk Adjustment Auditor jobs are:
What states have the most Per Diem Risk Adjustment Auditor jobs? States with the most job openings for Per Diem Risk Adjustment Auditor jobs include:
What job categories do people searching Per Diem Risk Adjustment Auditor jobs look for? The top searched job categories for Per Diem Risk Adjustment Auditor jobs are:
Per Diem Risk Adjustment Auditor jobs near you
Infographic showing various Per Diem Risk Adjustment Auditor job openings in the United States as of May 2026, with employment types broken down into 1% Locum Tenens, 2% Internship, 31% Full Time, 50% Part Time, 15% Temporary, and 1% Nights. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.
Auditor, Risk Adjustment

Auditor, Risk Adjustment

Oscar Health

Tempe, AZ • Remote

$82K - $108K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

226th of 260 rated insurance

Job description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
  • Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
  • Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
  • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
  • Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
  • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
  • Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
  • Manage the implementation process improvements that will maximize risk adjustment factor increases.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Bachelor's degree in a relevant field of study or commensurate work experience.
  • Certified professional coder (CPC)
  • 3+ year(s) retrospective risk adjustment coding experience.
  • 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

  • Certified Risk Adjustment Coder (CRC) or similar certification
  • Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.