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Remote Risk Adjustment Auditor Jobs in Michigan (NOW HIRING)

Dealer Auditor-Remote

Auburn Hills, MI ยท Remote

$35 - $40/hr

... Knowledge of risk management, control objectives/activities, and automated/manual controls ... remote auditing techniques, claims processing, and optical recognition software Experience ...

Senior Auditor

Livonia, MI ยท Remote

$71K - $88K/yr

Remote Responsibilities As a Senior Auditor, you will be responsible for leading and executing ... Perform risk assessment processes to determine audit scope for projects. Identify and assess ...

Senior Auditor

Livonia, MI ยท Remote

$71K - $88K/yr

Remote As a Senior Auditor, you will be responsible for leading and executing internal audits ... Perform risk assessment processes to determine audit scope for projects. Identify and assess ...

$74K - $97K/yr

... remote or hybrid if based near our Dallas office. What You'll Do: * Analyze and adjudicate stop ... Proposes claims adjustments and refunds. * Works claims caseloads. * Aggregate claims experience.

Auditor, Sr Stoploss Claim

Wyoming, MI ยท On-site +1

$74K - $97K/yr

... remote or hybrid if based near our Dallas office. What You'll Do: * Analyze and adjudicate stop ... Proposes claims adjustments and refunds. * Works claims caseloads. * Aggregate claims experience.

Auditor, Sr Stoploss Claim

Three Rivers, MI ยท On-site +1

$74K - $97K/yr

... remote or hybrid if based near our Dallas office. What You'll Do: * Analyze and adjudicate stop ... Proposes claims adjustments and refunds. * Works claims caseloads. * Aggregate claims experience.

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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, and why are they important?

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 popular job titles related to Remote Risk Adjustment Auditor jobs in Michigan? For Remote Risk Adjustment Auditor jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Auditor jobs in Michigan look for? The top searched job categories for Remote Risk Adjustment Auditor jobs in Michigan are:
What cities in Michigan are hiring for Remote Risk Adjustment Auditor jobs? Cities in Michigan with the most Remote Risk Adjustment Auditor job openings:
Infographic showing various Remote Risk Adjustment Auditor job openings in Michigan as of June 2026, with employment types broken down into 67% Full Time, 11% Part Time, 11% Temporary, and 11% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution.
Dealer Auditor-Remote

Dealer Auditor-Remote

Brightwing

Auburn Hills, MI โ€ข Remote

$35 - $40/hr

Other

Posted 29 days ago


Job description

Job Description Job originates out of Auburn Hills. Candidate can be located anywhere in the contiguous US as the position is remote. The candidate will be based in USA, with travel up to 50%, and will report to a Dealer Audit Lead Auditor or Manager.

Description: The role will support the Dealer Audit organization in planning, executing, and reporting audit results associated with dealership commercial activities. Audits are primarily conducted to ensure dealership reimbursements for commercial activities (e.g., Sales Incentives) are accurate, complete, and in accordance with company policies/requirements. The Dealer Auditor will also be responsible for preparing and communicating audit-related information, such as notification letters and specialized reports detailing audit results, and in maintaining the audit tools

Additionally, the Dealer Auditor will maintain oversight of Company's commercial policies and programs, performing root cause analysis, recommending corrective actions, and identifying opportunities to improve internal and external processes and system functionality. Knowledge of sales, finance, and controlling is essential. Requirements: Bachelor's Degree in Finance, Accounting, Information Systems, Business Administration, Sales & Marketing, or a related degree A minimum of 5 years professional working experience in auditing, finance/accounting, compliance, project management, quality assurance, or related automotive industry experience Strong computer skills and highly proficient with Microsoft Office Suite (O365 / Online Collaboration Version) General understanding of the franchised dealership model Quantitative, analytical, and detail-oriented Possesses excellent interpersonal and communication skills (both written and verbal) Knowledge of risk management, control objectives/activities, and automated/manual controls Excellent written and verbal communication skills in English Preferred Requirements: Prior audit experience (financial, compliance, operational, or dealership/franchise) Experience with automotive OEM dealership management systems Experience with highly automated/digital processes; including but not limited to remote auditing techniques, claims processing, and optical recognition software Experience researching, implementing, or authoring technical requirements, policies/procedures, and other governing documents Flexible and adaptable to changing business environments and job responsibilities Certified Public Accountant, Certified Internal Auditor, Certified Fraud Examiner, or PMP Certification Advanced Degree in Finance, Accounting, Information Systems, Business Administration, or related degree Additional Must Haves: Candidate should have previous dealer/automotive experience Previous audit experience Highly proficient with Microsoft 365 Excellent interpersonal and communication skills (both written and verbal) Driving a company vehicle is required.

Amount of travel: Up to 50% - With this position being remote, the possibility of travel is anywhere in the contiguous US.