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Remote Risk Adjustment Auditor Jobs in Florida (NOW HIRING)

Lee Health

Coder II - E/M

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum ... Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified Coding Specialist) RHIT ...

Lee Health

Coder II - E/M

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) • CIC (Certified Inpatient Coder) • CCS (Certified Coding Specialist ...

Monogram Health

Market Physician Executive

Naples, FL · Remote

This position will be remote within the designated market with occasional in-home patient treatment ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Monogram Health

Market Physician Executive

Tampa, FL · Remote

This position will be remote within the designated market with occasional in-home patient treatment ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Phsorg

Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY. Hybrid ... Strong understanding of claims data, risk adjustment methodologies, and Health Plan financial ...

Nemours Children's Health

Inpatient Coder

Orlando, FL · Remote

$19 - $23/hr

This position is remote. Applicants must reside in one of the following states: Alabama, Colorado ... risk adjustment factors (RAF). * Demonstrates an excellent working knowledge of hospital ...

Phsorg

Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY. Hybrid ... Health, Risk Adjustment, Provider Relations, Customer Service, Network Management, and Care ...

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Remote Risk Adjustment Auditor information

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 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 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 Florida? The most popular types of Risk Adjustment Auditor jobs in Florida are:
What are popular job titles related to Remote Risk Adjustment Auditor jobs in Florida? For Remote Risk Adjustment Auditor jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Auditor jobs in Florida look for? The top searched job categories for Remote Risk Adjustment Auditor jobs in Florida are:
What cities in Florida are hiring for Remote Risk Adjustment Auditor jobs? Cities in Florida 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 Florida as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 100% Remote job distribution.

Coder II - E/M

Lee Health

Cape Coral, FL • Remote

$20.50 - $27.85/hr

Full-time

Posted 7 days ago

Lee Health rating

7.1

Company rating: 7.1 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

379th of 887 rated healthcare providers

Job description

Location: Remote - FL

Department: Coding

Work Type: Full Time

Shift: Shift 1/8:00:00AM to 4:30:00PM

Minimum to Midpoint Pay Rate:$20.50 - $27.85 / hour

Summary

Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures Follows procedures mandated by government and other payers for completion of coded data including APC assignments.

Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records.

Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, Documentation Quality Assurance, and Ancillary records.

Requirements

Education:High School diploma or equivalent required.

Experience:Minimum of 1 Year of outpatient multidisciplinary coding and or Provider E&M Level of Service Coding (Professional Fee Only) experience required.

Certification:Minimum one coding certification required (listed below). Other specialty certifications from AAPC or AHIMA will be considered.

CPC (Certified Professional Coder)

COC (Certified Outpatient Coding)

CPC-P (Certified Professional Coder-Payer)

CRC (Certified Risk Adjustment Coder)

CIC (Certified Inpatient Coder)

CCS (Certified Coding Specialist)

RHIT (Registered Health Information Technician)

RHIA (Registered Health Information Administrator)

License:N/A

US:FL:Cape Coral

What Lee Health employees say

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About Lee Health

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Lee Health is one of the largest public health systems in the U.S. and one of the largest not-for-profit public health systems in Florida. With 4 acute care hospitals; Lee Memorial, Healthpark Medical Center, Cape Coral Hospital and Gulf Coast Medical Center, two specialty hospitals; Gaisano Children's Hospital and The Rehab Hospital. Lee Physician Group with over 80 practices throughout Southwest Florida, a Regional Cancer Center, seven outpatient centers, three walk-in clinics and two pediatric outpatient facilities. HEALTHGRADES ranks Lee Healths four acute care hospitals in the top 5% in the nation for overall clinical excellence in 2019, 2020, 2021 AND 2022 and is included in America's 250 Best Hospitals

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Fort Myers, FL, US

Year founded

1916

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