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Remote Hcc Auditor Jobs (NOW HIRING)

Aquity Solutions

Director Risk Adjustment - Remote

$130K - $150K/yr

... auditing accuracy, compliance, daily volume throughput, and turnaround times across all active risk adjustment models. * Regulatory Alignment: Act as the internal authority on CMS-HCC coding updates ...

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 ...

Albanymed

Senior Professional Coder

Broadway, VA · Remote

$64K - $97K/yr

Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require ... auditing) to ensure documentation and selection of HCC diagnosis codes meet the requirements set ...

Albany Medical Center

Senior Professional Coder

$23.25 - $31/hr

Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require ... auditing) to ensure documentation and selection of HCC diagnosis codes meet the requirements set ...

Careers Integrated Resources Inc

Medical Coder III

$27/hr

Remote Duration: 12 Months Payrate: $27/hr. on W2 Will this role be fully remote?: Yes Are there ... Must be experienced in risk adjustment auditing. Must possess valid Certified Risk Adjustment Coder ...

Veracity

Inpatient Facility Medical Coder (40h Day)

$19.25 - $25.50/hr

Inpatient Facility Medical Coder (40h Day) Remote Clackamas, OR Candidates must reside either in ... Coding Auditor Senior spends a minimum of 80% of work time assigning codes to Inpatient records ...

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 ...

PeaceHealth

Manager Healthcare Compliance

Vancouver, WA · Remote

$48.52 - $72.78/hr

Description PeaceHealth is seeking a Remote (must reside in OR, WA or AK) Manager Healthcare ... Manages all aspects of the PeaceHealth Healthcare Compliance (HCC) Program including the ...

Dana-Farber Cancer Institute

$20.75 - $27.50/hr

This position's work location is onsite at our Milford Satellite location with up to one day remote ... Responsible for organizing and preparing for both internal and external auditing and study ...

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Remote Hcc Auditor information

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$64.5K

$87K

$97.5K

How much do remote hcc auditor jobs pay per year?

As of Aug 14, 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 86% Full Time, 10% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 89% Physical, 5% Hybrid, and 6% Remote job distribution, with an average salary of $86,952 per year, or $41.8 per hour.

Director Risk Adjustment - Remote

Aquity Solutions

Remote

$130K - $150K/yr

Full-time

Medical, Retirement, PTO

Re-posted 2 days ago

Job description

Director of Risk Adjustment
About IKS Health
For more information, visit: www.ikshealth.com
IKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care. Combining pragmatic technology and dedicated experts, IKS enables stronger, financially sustainable enterprises. Our Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality, and achieve cost savings through forward-thinking solutions. Founded in 2006, IKS Health's global workforce supports large health systems across the United States.
IKS Health is transforming the way provider organizations manage the administrative and clinical complexities of care delivery. Our Care Enablement Platform blends advanced AI-powered automation with deep human expertise to relieve administrative burdens, improve clinical workflows, and drive financial sustainability; so clinicians can get back to what they do best.
  • Strategic Client Management: Serve as the primary operational partner for multiple external clients across medical groups, health systems, and risk-bearing entities. Serve as the trusted advisor and escalation point, lead regular performance reviews, present complex risk adjustment data, and ensure strict adherence to Service Level Agreements (SLAs).
  • Team Leadership & Scalability: Directly manage a department of 70+ production coders and auditors. Lead the organizational design and hiring strategy to expand the team as the company grows into new business lines.
  • Operational Excellence: Establish, monitor, and optimize department KPIs regarding coding/auditing accuracy, compliance, daily volume throughput, and turnaround times across all active risk adjustment models.
  • Regulatory Alignment: Act as the internal authority on CMS-HCC coding updates, as well as future strategic expansion into commercial coding and state-specific Medicaid lines of business, ensuring all risk adjustment programs strictly adhere to current guidelines, OIG mandates, and RADV/HHS-RADV audit readiness.
  • Product & Technology Collaboration: Partner cross-functionally with the Product team as the primary business stakeholder representing coding, auditing, and regulatory best practices while optimizing model performance and user experience.

Qualifications
Education: BA/BS or equivalent
Certifications:Active Certified Risk Adjustment Coder (CRC ) is highly preferred.
Certified Professional Medical Auditor (CPMA), CPC, CCS, or RHIA are considered.
Core Competencies: Exceptional operational execution across a large span of control, strong analytical data-driven decision-making, and the communication skills necessary to translate highly technical coding jargon into clear requirements for technology teams and executives.
Experience & Leadership: 9+ years of progressive experience in risk adjustment operations within a health plan, provider organization, or vendor, including 3-5 years of direct management experience over a large workforce (50+ coders and auditors).
Subject Matter Expert: Expert-level understanding of the end-to-end CMS-HCC Medicare risk coding model, including prospective, concurrent, and retrospective coding, including EDS and RAPS.
Multi-Line Coding Knowledge (Plus): A strong understanding or background in Medicaid and Commercial (ACA/Exchange) risk adjustment coding models is a plus.
Product & Technical Savvy: Proven experience collaborating with software development teams, UX designers, or engineers to build or optimize AI-enabled risk coding solutions.
Compensation and Benefits: The maximum annual salary range is $130,000 - $150,000 a year, determined by years of relevant experience, skills, and the specific geographical location where the work is performed. Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc. IKS Health offers a competitive benefits package including healthcare, 401 (k), and paid time off (all benefits are subject to eligibility requirements for full-time employees). IKS Health is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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