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Remote Risk Adjustment Auditor Jobs in Connecticut

Davies North America

Phone Premium Auditor

Cheshire, CT · On-site +1

Remote Workers Wanted! Are you looking for professional work you can do from your home office ... Davies Risk Services is an industry leader and premier provider of premium audit and loss control ...

Northwell Health

Outpatient Coding Educator

Danbury, CT · Remote

$29.65 - $55.55/hr

REMOTE POSITION- MUST RESIDE IN NY, CT, AL, AZ, CO, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC ... Provides physician medical practice coding, billing, and documentation auditing for professional ...

Finalsite

Chief Compliance Officer

Glastonbury, CT · On-site +1

... risk controls. LOCATION 100% Remote - Anywhere within the US RESPONSIBILITIES • Owns and leads ... card networks, regulators, auditors, and external legal counsel, including ownership of ...

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Remote Risk Adjustment Auditor information

What is a remote risk adjustment auditor?

A Remote Risk Adjustment Auditor is a healthcare professional who reviews medical records and documentation from a remote location to ensure accurate coding for risk adjustment purposes. Their work helps health plans and providers comply with government regulations and receive appropriate reimbursement for patient care. They analyze clinical documents to validate diagnoses, identify coding errors, and ensure data integrity. Remote auditors use specialized software and follow strict confidentiality guidelines while working from home or another offsite location.

What are the key skills and qualifications needed to thrive as a remote risk adjustment auditor?

To thrive as a Remote Risk Adjustment Auditor, you need strong knowledge of medical coding (CPT, ICD-10), healthcare compliance, and experience with risk adjustment methodologies, typically supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding audit software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and effective written communication are important soft skills for interpreting complex medical records and collaborating with healthcare providers. These skills ensure accurate risk adjustment coding, regulatory compliance, and optimized reimbursement processes in a remote work environment.

What are some common challenges remote risk adjustment auditors face, and how can they overcome them?

Remote Risk Adjustment Auditors often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and effectively communicating with team members in a virtual environment. To overcome these, auditors should prioritize ongoing education on coding standards, utilize secure collaboration tools to stay connected with colleagues, and develop strong organizational skills to manage multiple assignments efficiently. Proactively seeking feedback and participating in team meetings can also help maintain accuracy and a sense of community while working remotely.

What is the difference between Remote Risk Adjustment Auditor vs Remote Medical Coder?

AspectRemote Risk Adjustment AuditorRemote Medical Coder
CertificationsCPMA, RAC, or RHITAAPC CPC, CCS, or RHIT
Work EnvironmentInsurance, healthcare auditing firmsHospitals, clinics, insurance companies
Job FocusReviewing documentation for risk adjustment accuracyAssigning medical codes to patient records

Remote Risk Adjustment Auditors and Remote Medical Coders often share certifications and work in healthcare settings. However, auditors focus on reviewing documentation for risk adjustment purposes, while coders assign medical codes directly to patient records. Both roles require healthcare knowledge but serve different functions within the industry.

What are the most commonly searched types of Risk Adjustment Auditor jobs in Connecticut?

The most popular types of Risk Adjustment Auditor jobs in Connecticut are:

What are popular job titles related to Remote Risk Adjustment Auditor jobs in Connecticut?

For Remote Risk Adjustment Auditor jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Auditor jobs in Connecticut look for?

The top searched job categories for Remote Risk Adjustment Auditor jobs in Connecticut are:

What cities in Connecticut are hiring for Remote Risk Adjustment Auditor jobs?

Cities in Connecticut with the most Remote Risk Adjustment Auditor job openings:

Remote Risk Adjustment Auditor jobs near you
Infographic showing various Remote Risk Adjustment Auditor job openings in Connecticut as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 100% Remote job distribution.

Phone Premium Auditor

Davies North America

Cheshire, CT • On-site, Remote

Contractor

Re-posted 29 days ago

Key responsibilities

  • Schedule and conduct premium audits with policyholders via phone and email to review business operations and financial records.

  • Submit audit reports through web-portal and auditing software, and communicate with clients to obtain necessary information.

  • Examine payroll, sales, and operational records, and evaluate business practices to ensure compliance with customer requirements and standards.

Job description

Remote Workers Wanted!
Are you looking for professional work you can do from your home office? Something that will allow you to set your own schedule and have greater flexibility in your work life? Do you need a job that is mobile, something you can take with you if you move? If you answered yes to any of these questions, we encourage you to check out the rest of this posting!
Our Phone Premium Auditors work exclusively from home and come from various backgrounds. This is the perfect job for those who are looking for something they can do from home while the kids are at school, or that military spouse who moves around a lot and needs a job they can take with them. If you are inquisitive, professional, driven & self-directed; and you love numbers, spreadsheets, and working with all different types of people - then premium auditing just might be your calling!
Davies Risk Services is an industry leader and premier provider of premium audit and loss control services! Celebrating 30+ years in business, we owe our success to our talented auditors who perform our work.
Our core values are simple; We are Connected - We are Dynamic
We are Innovative - We Succeed Together!
Why Partner with Davies?
  • Grow a business for yourself and take control of your own destiny!
  • Manage your own schedule and work out of your home office
  • You determine how much work you take from us and manage your volume
  • Learn a valuable, highly marketable trade in a growing industry!
What does a Phone Premium Auditor do?
Our Phone Auditors work with the policyholder via phone/email, usually at the end of the policy period to conduct a review of business operations, specific financial records such as payroll, sales and/or cost records, and to verify class codes assigned per industry and client standards as required by their insurance contract.
  • Individually scheduling appointments with clients to conduct the premium audit and obtain necessary information
  • Submitting audit reports via web-portal and Davies's exclusive premium auditing software
  • Contacting clients and communicating via phone and email
  • Examining commercial businesses' payroll and tax records
  • Evaluating operational practices
  • Adhering to customer requirements and quality standards
  • Maintaining confidentiality and acting with integrity
Qualifications
  • Applicants must reside within the United States with the exception of California
  • Accounting or bookkeeping experience is helpful, but not required
  • Strong customer service skills
  • Numbers-oriented
  • Home office capability, inclusive of reliable home internet and a Microsoft based computer.
  • Knowledgeable of Microsoft Office, particularly Excel, Word and Outlook.
  • Strong analytical skills
  • Ability to use deductive reasoning to find solutions

Premium Audit experience is not required! Davies Risk Services provides best in class training, allowing entrepreneurial minded individuals the opportunity to own their own Premium Audit business and build a new career! For more information apply today!
**Davies Risk Services is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate. **
**We only consider applications submitted through our official hiring portal. We do not utilize sites like Facebook or Telegram Ap to recruit or interview potential employees or contractors. If you have been directed to provide any information through any another method other than our career portal, please email us at [email protected].**
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