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Per Diem Risk Adjustment Auditor Jobs (NOW HIRING)

Risk Adjustment Coder

Denver, CO ยท On-site

$19.25 - $25.75/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 ...

SR. HCC Coder

West Hills, CA ยท On-site

$30 - $33/hr

Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and ... The pay range for this position at commencement of employment is expected to be between $30-$33 per ...

The Risk Adjustment Healthcare Analyst (P3) is a senior-level individual contributor responsible ... This position is an Office role, which requires an employee to work onsite, on average, 3 days per ...

Risk Adjustment Healthcare Analyst

Madison, WI ยท On-site

$90K - $155K/yr

The Risk Adjustment Healthcare Analyst (P3) is a senior-level individual contributor responsible ... This position is an Office role, which requires an employee to work onsite, on average, 3 days per ...

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Per Diem Risk Adjustment Auditor information

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$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:
Infographic showing various Per Diem Risk Adjustment Auditor job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 87% Full Time, 9% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.
Risk Adjustment Coder

Risk Adjustment Coder

Strive Health

Denver, CO โ€ข On-site

$19.25 - $25.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago


Job description

How You'll Make An Impact
At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.
Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive!
Benefits & Perks
  • Hybrid-Remote Flexibility -Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
  • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
  • Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
  • Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
  • Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

To learn more about our offerings, click here.
What You'll Do
The Coder, Risk Adjustment Coding is responsible for supporting the Strive operational and clinical team and partner Nephrologists by reviewing risk adjustment visits for appropriate clinical documentation support. This role is responsible for supporting the growth and improvement of Strive's risk adjustment capabilities. The coder will ensure technical aspects of diagnostic and procedure coding follow CMS, NCQA, third party payers and other regulatory agencies. They will review assigned provider's documentation and coding from end to end, including proper application of ICD-10 codes, CPT and CPT II codes. The coder shall educate assigned providers on CMS, AMA and Strive documentation and ICD-10-CM coding guidelines, as necessary. This role will perform provider queries and addendum requests based on CMA, AMA documentation and coding guidelines. This individual will assist in special coding audits and coding projects as necessary and provide ongoing feedback to the clinical management team regarding coding and documentation trends to ensure accurate coding and documentation to improve overall health outcomes for patients and continuity of care. This role will report to the Manager, Risk Adjustment.
The Day to Day
  • Delivers value to Strive and its beneficiaries enrolled in Risk Adjusted government programs (MA, ACO, ACA, CKCC), using skills including but not limited to: HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, RADV Audits, and review of CPT and CPT II codes as applicable.
  • Works closely with physicians, team members, quality, and compliance partners at enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding.
  • Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories.
  • Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
  • Performs HCC coding on projects for MA, ACA, and ESRD. Ability to quickly flex between coding projects, including retro and prospective, with different MA, ESRD, and ACA HCC Models.
  • Works independently in various coding applications and electronic medical record systems to support departmental goals.
  • Shall consistently meet coding productivity and 95% accuracy and any additional requirements as set forth by the Coding Manager.

Minimum Qualifications
  • Active, approved CRC (Certified Risk Adjustment Coder) or CPC (Certified Professional Coder) License. From AAPC or AHIMA.
  • 5+ years combined of related education, coding/auditing experience, or certification.
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
  • Ability to travel and be onsite to meet business needs.

Preferred Qualifications
  • 5+ year's experience using ICD-10-CM, 2+years' experience with risk adjustment coding and training geared toward physicians.
  • Expert in coding and documentation guidelines, knows how to develop strong relationships with clinicians, and is an effective, strong communicator.
  • Successful candidates will also have presentation experience in the following areas: ICD-10-CM, CPT and HCPCS.
  • Extensive knowledge of documentation and coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) for assignment of diagnostic and procedural codes.
  • Knowledge of Federal laws and regulations, including NCDs and LCDs affecting risk adjustment documentation and coding compliance.
  • MS Office Suite, Electronic Medical Records, Encoder, and other software programs and internet-based applications.

About You
  • Use a customer focused approach in dealing with conflict and resolution of problems.
  • Strong clinical assessment and critical thinking skills.
  • Excellent verbal and written communication skills.
  • Ability to work in a remote team environment while also being a strong individual contributor.
  • Flexibility and strong organizational skills needed.

Hourly Base Range: $27.88 - $32.21
Final compensation will be determined based on location, experience, and qualifications.
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.