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Remote Hcc Auditor Jobs (NOW HIRING)

CorroHealth

DRG Revenue Integrity Auditor

$28 - $31.75/hr

... HCC) capture CMI and other coding factors. Usage of most current Clinical Criteria, MCG, InterQual ... This is a remote position** ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ...

Corrohealth

DRG Revenue Integrity Auditor

OR · Remote

$27.25 - $31/hr

... HCC) capture CMI and other coding factors. Usage of most current Clinical Criteria, MCG, InterQual ... This is a remote position** ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ...

TriHealth, Inc.

REMOTE - Coding Educator

$28 - $31.75/hr

... and HCC education for TPEC * Responsible for quarterly and annual updates to TriHealth coding staff * Establishes an annual compliance summary of the auditing results and provide education and ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective ... Coordinate with third party and internal auditors as required. * Other duties and projects as ...

Strive Health

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy ... From AAPC or AHIMA. * 5+ years combined of related education, coding/auditing experience, or ...

CommonSpirit Health

As a remote employee, we will provide you with the equipment needed to work from home, including a ... Directs the processing, auditing, and accurate payment for all claims through all HMO plans for ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

Experience Experience working in a remote environment. * Licenses and Certifications AHIMA-Approved ... Identify educational opportunities by auditing inpatient and/or outpatient accounts in compliance ...

UT Southwestern Medical Center

CDI Audit Educator RN

Dallas, TX · On-site +1

$34.50 - $46.25/hr

Experience Experience working in a remote environment. * Licenses and Certifications AHIMA-Approved ... Identify educational opportunities by auditing inpatient and/or outpatient accounts in compliance ...

Dana-Farber Cancer Institute

$26.25 - $35/hr

Responsible for organizing and preparing for both internal and external auditing and study ... Shows an understanding of DF/HCC SOPs * Shows an understanding of the roles and responsibilities of ...

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Remote Hcc Auditor information

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$87K

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How much do remote hcc auditor jobs pay per year?

As of Jun 8, 2026, the average yearly pay for remote hcc auditor in the United States is $86,952.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,000.00 and $92,500.00 per year, depending on experience, location, and employer.

What is a Remote HCC Auditor job?

A Remote HCC Auditor reviews medical records to ensure accurate Hierarchical Condition Category (HCC) coding and compliance with risk adjustment guidelines. They work from home, analyzing documentation to validate the appropriate assignment of diagnosis codes. This role helps healthcare organizations optimize reimbursement and maintain coding integrity. Strong knowledge of ICD-10 coding, Medicare guidelines, and auditing best practices is essential.

What are the key skills and qualifications needed to thrive in the Remote Hcc Auditor position, and why are they important?

To thrive as a Remote HCC Auditor, you need expertise in medical coding, healthcare compliance, and risk adjustment principles, usually supported by credentials such as CPC, CRC, or a similar certification. Familiarity with electronic health records (EHRs), coding software, and Medicare Advantage systems is essential. Attention to detail, analytical thinking, and strong written communication help auditors deliver accurate reviews and clear reports in a remote environment. These combined skills ensure precise coding, regulatory compliance, and effective collaboration with healthcare teams to optimize risk adjustment outcomes.

What are some common challenges faced by Remote HCC Auditors, and how can they be managed?

Remote HCC Auditors often encounter challenges such as interpreting complex medical documentation, staying updated with evolving coding regulations, and maintaining focus while working independently. Managing these challenges involves ongoing professional development, open communication with coding and clinical teams, and utilizing productivity tools to track assignments. Connecting regularly with colleagues and participating in virtual audits or training sessions can foster a sense of teamwork and help address coding discrepancies. By proactively seeking resources and building strong digital communication habits, auditors can excel and deliver accurate, compliant results.

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Remote Hcc Auditor jobs near you

Risk Adjustment Coding Specialist II - Remote

Astrana Health

Monterey Park, CA • Remote

$70K - $85K/yr

Full-time

Posted 3 days ago

Job description

We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our IPAs across the nation.  In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You'll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! 

Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) 
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines 
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
  • Other duties as assigned
  • Must be open to traveling to provider sites within Connecticut and possibly surrounding areas. Reliable transportation and valid Driver's License required
  • Certified Professional Coder (CPC) AND Certified Risk Adjustment Coder (CRC) certifications from AAPC
  • 3-5+ years of experience in risk adjustment coding and billing experience 
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • Excellent presentation, verbal and written communication skills, and ability to collaborate 
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding softwares and Electronic Health Records (EHR) systems.
  • Strong knowledge with PowerPoint, preparing presentations, and public speaking
  • Strong experience with Excel - reports, pivot tables, VLOOKUP, etc.
You're great for this role if:
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through AAPC highly preferred
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Experience with multiple EMR/EHR systems
  • Experience with Monday.com and PowerBI
  • Ability to work independently and collaborate in a team setting
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting
  • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role will be fully remote and likely work in CST hours, however, some work across time zones may be necessary. 
  • This is a full-time position, M-F 830-5. 
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

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