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Remote Hcc Auditor Jobs (NOW HIRING)

Centene

Risk Adjustment Auditor Educator

$56K - $101K/yr

... risk adjustment (HCC Coding) Required Other experience in teaching, training or an educator ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Tokio Marine HCC

Specific Claims Auditor

$40K - $80K/yr

Help us insure it Tokio Marine HCC is a global industry-leading specialty insurance group, backed ... Remote- Georgia The pay range for this position is $40,300-$80,800 , which includes geographic ...

Duke Health

COMPLIANCE SPECIALIST-Remote

Durham, NC · Remote

This position is 100% remote. All Duke University remote workers must reside in one of the ... HCC coding/auditing * Multi-Specialty Coding/Auditing * Examples: * Interventional Radiology

Duke Health

COMPLIANCE SPECIALIST-Remote

Durham, NC · On-site +1

This position is 100% remote. All Duke University remote workers must reside in one of the ... HCC coding/auditing * Multi-Specialty Coding/Auditing * Examples: * Interventional Radiology

Dana-Farber Cancer Institute

... HCC institutions. This position's work location is fully remote, never on campus. The selected ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...

Dana-Farber Cancer Institute

... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...

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 ...

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How much do remote hcc auditor jobs pay per year?

As of Sep 4, 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?

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 as a remote HCC auditor?

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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What are the most commonly searched types of Hcc Auditor jobs?

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Remote Hcc Auditor jobs near you
Infographic showing various Remote Hcc Auditor job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 8% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $86,952 per year, or $41.8 per hour.

Risk Adjustment Auditor Educator

Centene

Remote

$56K - $101K/yr

Full-time

Medical, Retirement, PTO

Posted 16 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 406 frontline employees who took The Breakroom Quiz

12th of 898 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. Analysis of MRA data to identify patterns and development of interventions at the provider and market level.

  • Subject matter experts for proper risk adjustment coding and CMS data validation
  • Work in conjunction with other departments to include Provider Relations, Quality as well as the Medical Director for the state assigned to ensure compliance of CMS risk adjustments guidelines are met.
  • Analyze MRA data to identify patterns and development of interventions at the provider and market level to coordinate an educational work plan for WellCare contracted providers.
  • Conduct provider education and training regarding risk adjustment to help to ensure accurate CMS payment and to improve quality of care.
  • This includes training venues such as provider offices, hospitals, webinars, conference calls, email correspondence, etc.
  • Works on additional risk adjustment audit requests (i.e. outside auditors' requests).
  • Serves on the RADV Committee as subject matter experts.
  • Perform quality assurance auditing (i.e. ensure appropriateness and accuracy of ICD-9/ICD-10 coding) for WellCare's Medical Coding Specialists.
  • Communicates QA results to the Medical Coding Specialists with suggestions for improvement and re-training topics.
  • Perform other duties as necessary.
  • Complies with all policies and standards

Education/Experience: Bachelor's degree or equivalent experience required

Candidate Experience: 5+ years of experience in a hospital, a physician setting or a Managed Care Organization as a medical coder
2+ years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding)
Required Other experience in teaching, training or an educator/instructor role required; but provider education experience is preferred
Preferred Other managed care experience
Licenses and Certifications: A license in one of the following is required:
One of the following licensures required at hire: CPC or CCS
CRC required within the 1st year of employment
CPMA preferred on the 2nd year of employment

Pay Range: $56,200.00 - $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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