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Remote Actuarial Audit information

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$51K

$113.7K

$158K

How much do remote actuarial audit jobs pay per year?

As of Aug 14, 2026, the average yearly pay for remote actuarial audit in the United States is $113,678.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,500.00 and $127,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Actuarial Audit vs Remote Actuarial Analyst?

AspectRemote Actuarial AuditRemote Actuarial Analyst
Required CredentialsTypically requires ASA or FSA, actuarial examsUsually requires ASA or near completion of exams
Work EnvironmentAudit teams, insurance companies, consulting firmsInsurance companies, consulting firms, financial institutions
Industry UsageUsed for risk assessment, compliance, and audit processesUsed for pricing, reserving, and data analysis

Remote Actuarial Audit and Remote Actuarial Analyst roles both require actuarial credentials and involve working within the insurance and financial industries. However, the audit role focuses on evaluating financial statements and compliance, while the analyst role emphasizes data analysis and pricing. Both positions are vital in insurance companies and consulting firms, but they serve different functions within the industry.

What cities are hiring for Remote Actuarial Audit jobs?

Cities with the most Remote Actuarial Audit job openings:

What are the most commonly searched types of Actuarial Audit jobs?

The most popular types of Actuarial Audit jobs are:

What states have the most Remote Actuarial Audit jobs?

States with the most job openings for Remote Actuarial Audit jobs include:

Remote Actuarial Audit jobs near you

Risk Adjustment Expert - Fully Remote | Upto $110/hr

Mercor

New York, NY • Remote

$110/hr

Full-time

Posted 2 days ago

New

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Risk-adjustment / HCC coding leader
Type: Contract
Compensation: $110/hour
Location: Remote

Role Responsibilities

  • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
  • Manage RADV audit preparation and response processes.
  • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.

Qualifications

Must-Have

  • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role.
  • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
  • Experience with RADV audit preparation and CMS compliance requirements.
  • Familiarity with RAPS and EDGE submission processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.

Preferred

  • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
  • Experience with risk adjustment analytics platforms and chart retrieval systems.
  • Background in health plan, Medicare Advantage organisation, or value-based care setting.
  • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
  • Experience presenting risk adjustment performance to actuarial or executive teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.