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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.

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Per Diem Risk Adjustment Auditor jobs near you
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 Coding Specialist II Full Time

Trinityhealth

Boise, ID • Remote

Full-time

Posted 6 days ago

Job description

Employment Type:Full timeShift:Description:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.

Saint Alphonsus is looking to hire aRisk Adjustment Coding Specialist IIfor our SAMG Population Health. This position is fully remote. It is full time, 40hours a week, and is benefit eligible.

The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives that promote the success of Advanced Payment Model (APM) contracts. The position is responsible to work with all applicable payer partners for varying arrangements spanning across Medicare, Medicare Advantage, Commercial, QHP and Medicaid, and will leverage data and reports to maximize clinical condition documentation (CCD), and will become familiar with risk adjustment methodologies as applicable (HCC/RAF, HHS, MARA, Johns Hopkins, etc.) The Risk Adjustment Coding Specialist will provide insights and direct contributions to the development of analytics and reporting to enhance providers' ability to document and code to the highest level of specificity and improve coding and recapture rates as is clinically appropriate. The role will maintain strict confidentiality of all data and information. The Risk Adjustment Coding Specialist will develop and maintain collaborative relationships with internal and external partners to ensure effective, results-oriented project outcomes.

General Requirements:

  • Minimum of 2 years of experience working in risk adjustment coding in a medical practice, network or payer setting using electronic health records (EHR) required. Chart auditing experience preferred.
  • Minimum of 4 years coding experience required

Education:

  • High school diploma or equivalent required. Associates/Bachelor's Degree or some college preferred.

License/Certification:

  • Certified Risk Adjustment Coder (CRC) required.
  • AAPC or AHIMA coding credential required.

Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.

Visitwww.saintalphonsus.org/careersto learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System.

Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individualwith regard torace, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

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