2

Remote Risk Adjustment Auditor Jobs in Ohio (NOW HIRING)

External Auditor 3

Columbus, OH ยท On-site +1

$42.62 - $44.66/hr

... risk through subrecipient and contractor monitoring, program integrity reviews and technical ... Cost of Living Adjustments increase wages in these ranges each fiscal year. The current step ...

Senior IT Auditor (CyberSecurity)

Akron, OH ยท Remote

$89K - $118K/yr

Remote Greensburg, PA 15601 or Akron, OH 44320 50 miles from location. Duration: 6-month contract ... of IT risk, controls, and audit methodologies Experience with risk-based audit planning and ...

Lead Auditor, Medicare

Delaware, OH ยท On-site +1

$49K - $60K/yr

... risk management activities and special projects. Description This a part time position working ... This is a remote position and the task can be performed at any location. What You'll Do:

Lead Auditor, Medicare

New Hampshire, OH ยท On-site +1

$49K - $60K/yr

... risk management activities and special projects. Description This a part time position working ... This is a remote position and the task can be performed at any location. What You'll Do:

Lead Auditor, Medicare

New Hampshire, OH ยท On-site +1

$49K - $60K/yr

... risk management activities and special projects. Description This a part time position working ... This is a remote position and the task can be performed at any location. What You'll Do:

Staff Auditor

Marysville, OH ยท On-site +1

$59K - $70K/yr

Work with project management and key stakeholders to design corrective actions that mitigate risk ... For remote roles where the final candidate resides in Alaska, California, Colorado, Illinois, New ...

Auditor, Sr Stoploss Claim

Delaware, OH 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.

New

Auditor, Sr Stoploss Claim

New Hampshire, OH 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.

Global Audit Staff II

Columbus, OH ยท On-site +1

$71K - $140K/yr

The audits assess risk, evaluate internal controls, safeguard assets, and analyze financial ... Bank auditing experience is a plus. Skills * Bank Auditing * Data Analytics * Internal Auditing

Senior Internal Auditor

Cleveland, OH ยท On-site +1

$82K - $101K/yr

This position is not hybrid/remote and will be located at our Global Headquarters in Cleveland, OH ... risk assessment and audit program * Assist in managing the execution of fieldwork * Work with ...

... risk management frameworks. * Coordinate with external auditors and participants to ensure ... The compensation for this role is budgeted between $150,000 and $200,000. #LI-Remote This is the ...

Remote (ON, NS, BC) Duration: 6+ Months Job Description: Purpose Leads enterprise-wide corporate ... Risk & value leakage across services * Drive efficiency-focused transformation strategy, linking ...

New

next page

Showing results 1-20

People also search for

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 the most commonly searched types of Risk Adjustment Auditor jobs in Ohio? The most popular types of Risk Adjustment Auditor jobs in Ohio are:
What cities in Ohio are hiring for Remote Risk Adjustment Auditor jobs? Cities in Ohio with the most Remote Risk Adjustment Auditor job openings:
Infographic showing various Remote Risk Adjustment Auditor job openings in Ohio as of June 2026, with employment types broken down into 67% Full Time, 30% Part Time, and 3% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

External Auditor 3

Ohio Department of Taxation

Columbus, OH โ€ข On-site, Remote

$42.62 - $44.66/hr

Full-time

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Office of Fiscal and Monitoring Services

The Office of Fiscal and Monitoring Services (OFMS) Monitoring Services Division is responsible for managing risk through subrecipient and contractor monitoring, program integrity reviews and technical assistance to ensure that spending is occurring in accordance with federal and state rules. Learn more about the Office by visiting the ODJFS OFMS webpage.

What You Will Do

As part of a new unit, you'll plan and lead monitoring reviews of subrecipients administering programs that support low-income households through energy assistance and community services. These programs include:ย 

  • Home Energy Assistance Program (HEAP)
  • Home Weatherization Assistance Program (HWAP)
  • Community Services Block Grant (CSBG)

You will become familiar with HEAP, HWAP, CSBG, the Code of Federal Regulations (CFR), the Ohio Administrative Code (OAC), and Office of Community Support Services (OCSS) policies.

Job Duties

  • Conduct monitoring reviews: Work independently or on a team to check compliance with federal rules. Review cost allocation, budgets, procurement, claims, cash management, contracts, and subrecipient oversight. Analyze reports from a variety of accounting systems.
  • Identify noncompliance: Identify issues during reviews and clearly document the findings.
  • Prepare reports: Write clear, concise reports with practical recommendations for improvement.
  • Handle sensitive situations: Stay professional when people are uncooperative or slow to provide records.
  • Hold exit conferences: Meet with subrecipients to discuss findings and issues.

Necessary Skills

  • Audit and monitoring standards: Comprehensive understanding and experience preparing workpapers and drafting reports.
  • Regulatory compliance: Familiarity with local, state, and federal rules for managing federal funds.
  • Analysis and critical thinking: Ability to analyze data, identify risks, and identify noncompliance.
  • Documentation: Gather information, interview contacts, and prepare complete workpapers.
  • Teamwork and leadership: Work well independently and with a team; lead engagements when needed.
  • Communication: Clear writing for workpapers and reports; strong verbal skills for interviews and exit conferences.
  • Personal attributes: Positive attitude, willingness to learn, patience, observation skills, organization, attention to detail, and adaptability.

Schedule: Full time.

Hours: Workdays are Monday through Friday. Hours are between 7:00 a.m. and 6:00 p.m.

Location: This position reports to the James A Rhodes State Officer Tower - 30 E. Broad Street, Columbus, OH 43215.

Travel: Occasional travel within Ohio. Some trips may include overnight stays.

Position Number: 20042175.

The ideal candidate, at minimum, must have the following:ย 

Option 1:

  • 5 years experience in auditing or accounting, which must have included 30 months auditing experience in accordance with auditing standards or in accordance with prescribed management policies &/or procedures as specified on agency position description;
  • AND 12 months' experience as audit team lead or auditor in charge.

Option 2:

  • Completion of undergraduate core coursework in accounting, business administration, computer science or related field;
  • AND 3 years' experience in auditing or accounting which must have included 18 months auditing experience in accordance with auditing standards or in accordance with prescribed management policies and/or procedures as specified on agency position description;
  • AND 12 months' experience as audit team lead or auditor in charge.

Option 3:ย 

  • 12 months' experience as External Auditor 2, 66462, in the State of Ohio classification system.ย 

Option 4:

  • Equivalent of minimum class qualifications for employment noted above.

Tips For Your Application

When completing the different sections of this application, be sure to clearly describe how you meet the minimum qualifications outlined in this job posting. We cannot give you credit for your Work Experience and Education & Certifications if you do not provide that information in your online application. Information in attached resumes or cover letters must be entered into your application in the appropriate Work Experience or Education & Certification sections to be considered.

Pay Information

This position is in the State of Ohio's OCSEA Pay Schedule, Pay Range 33. Unless required by legislation or union contract, starting salary will be the minimum salary of that pay range (step 1, currently $33.52ย per hour). These ranges provide a standardized pathway for pay increases. With continued employment, new hires move to the next step in the range after 6 months and annually thereafter. Cost of Living Adjustments increase wages in these ranges each fiscal year. The current step progression wages are in the table below.

ย Pay Range 33

Step 1

Step 2

Step 3

Step 4

Step 5

Step 6ย 

Step 7ย 

Step 8ย ย 

Step 9ย ย 

Hourly

$33.52

$35.15

$36.90

$38.70

$40.59

$42.62

$44.66

$46.87

$49.18

Annual

$69,722

$73,112

$76,752

$80,427

$84,427

$88,650

ย $92,893

$97,490

$102,294

Months of EmploymentAtย Hire6 Months18 Months30 Months42 Months54 Monthsย 66 Monthsย 78 Monthsย 90 Monthsย