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Remote Risk Adjustment Auditor Jobs in Illinois (NOW HIRING)

CVS Health

Senior Analyst, Corporate Audit

Northbrook, IL · On-site +1

$46K - $112K/yr

This position is classified as either remote OR hybrid in the Woonsocket, RI or Northbrook, IL or ... Required Qualifications * 2+ years prior experience in a relevant accounting or auditing role.

Bcbsa

Financial Audit Senior Consultant

Chicago, IL · Remote

$120K/yr

This role is responsible for monitoring, analyzing, and auditing financial transactions of high ... practices, and risk; and develop an overall and effective audit program. Develop and present ...

Bcbsa

Financial Audit Senior Consultant

Ohio, IL · On-site +1

$110K/yr

This role is responsible for monitoring, analyzing, and auditing financial transactions of high ... practices, and risk; and develop an overall and effective audit program. Develop and present ...

Bcbsa

Financial Audit Senior Consultant

Tennessee, IL · On-site +1

$112K/yr

This role is responsible for monitoring, analyzing, and auditing financial transactions of high ... practices, and risk; and develop an overall and effective audit program. Develop and present ...

Bcbsa

Financial Audit Senior Consultant

Virginia, IL · On-site +1

$114K/yr

This role is responsible for monitoring, analyzing, and auditing financial transactions of high ... practices, and risk; and develop an overall and effective audit program. Develop and present ...

IDEX

Environmental Compliance Manager

Northbrook, IL · On-site +1

Remote workers may be considered with the expectation that they travel to the Northbrook office ... risk and impact reduction, and auditing. * In partnership with external consultants and internal ...

Onco360

Pharmacy Compliance Analyst

Woodridge, IL · Remote

Remote opportunity! Some Travel required - see details below. The right candidate will live within ... Assists with conducting on-site auditing of Onco360/CareMed/ConnectMed360 pharmacy locations across ...

Posted today

Archgroup

AVP, Construction

Chicago, IL · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Assesses insurance and related financial risk and structures appropriate loss sensitive program to ...

Archgroup

AVP, Construction

Chicago, IL · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Assesses insurance and related financial risk and structures appropriate loss sensitive program to ...

Ocean Spray

Environmental Engineer

Chicago, IL · On-site +1

We are open to remote candidates. In this role, the Environmental Engineer is responsible for ... Compliance Monitoring & Risk Management * Conduct environmental audits, inspections, and risk ...

TRUSTBANK

Credit Analyst

Olney, IL · On-site +1

$65K - $90K/yr

Primary Duties and Responsibilities 1. Analyze the overall credit quality and risk of applicants by ... The Bank may consider a remote or hybrid work schedule based on the qualifications of the candidate ...

Acrisure

Senior Stop Loss Underwriter

Chicago, IL · On-site +1

$90K - $125K/yr

Remote (United States) About Acrisure A global fintech leader, Acrisure empowers millions of ... Evaluate specific and aggregate risk exposure and establish appropriate attachment points, lasers ...

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Showing results 21-40

All JobsRisk Adjustment Auditor JobsRemote Risk Adjustment Auditor JobsRemote Risk Adjustment Auditor Jobs in Illinois

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 Illinois?

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

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

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

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

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

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

Cities in Illinois 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 Illinois as of August 2026, with employment types broken down into 94% Full Time, 4% Part Time, and 2% Contract. Highlights an 100% Remote job distribution.

Senior Analyst, Corporate Audit

CVS Health

Northbrook, IL • On-site, Remote

$46K - $112K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,338 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

***This position is classified as either remote OR hybrid in the Woonsocket, RI or Northbrook, IL or Scottsdale, AZ Hartford, CT CVS Health office location***

Position Summary
CVS Health Internal Audit Department provides high quality services to our internal business partners that consistently meet and exceed their expectations. We collaborate proactively with our business partners to focus on the most important risks/challenges facing the organization, to deliver results that make the most significant contributions, and to provide meaningful insights and solutions. We continuously look for ways to improve our audit processes and leverage technology to provide value in creative ways.

Reporting to the Senior Manager of the Financial Controls Assurance Team, the Senior team will supervise a team of approximately 2 audit/compliance professionals to perform execution of the company's Sarbanes-Oxley (SOX) regulatory requirements for the Health Services segment, and promote collaboration with our business partners, external auditors, and management. The position assists with the annual planning process and supervises the execution of SOX testing. This role will be responsible for continually evaluating and recommending operational and process improvements to our financial compliance processes, and the efficiency and effectiveness of the company's key control structure. Also, the role will have opportunities to collaborate on cross-functional project teams providing value in support of CVS Health achieving its transformational goals.
Required Qualifications

  • 2+ years prior experience in a relevant accounting or auditing role.
  • Ability to travel up to 10%.


Preferred Qualifications

  • Practical knowledge of processes, risks, and internal controls.
  • Professional designations such as CPA, CIA, CISA, etc., or measured progress in achieving such designations.
  • Strong analytical, deductive, problem solving, and critical thinking skills.
  • Good teamwork and collaboration skills.
  • Solid meeting management and oral/written communication skills.


Education

  • Bachelor's degree in a relevant field such as Accounting, Information Technology, Finance, etc. preferred OR equivalent experience.
  • Master's Degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/22/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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