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Remote Risk Adjustment Auditor Jobs in Ohio (NOW HIRING)

Purposelink Recruitment

Remote Nurse Practitioner

OH · Remote

Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures * Background ... and remote monitoring * Collaborate with physicians, RNs, social workers, therapists, caregivers ...

Verify

Certified Auditor

Painesville, OH · Remote

Conduct on-site and remote audits of suppliers to verify compliance with AS9100 requirements ... Experience with risk-based auditing and process-based auditing techniques. Responsibilities Key ...

Verify Inc.

Certified Auditor

Painesville, OH · Remote

Conduct on-site and remote audits of suppliers to verify compliance with AS9100 requirements ... Experience with risk-based auditing and process-based auditing techniques. Responsibilities Key ...

STERIS Corporation

Senior Internal Auditor

Mentor, OH · On-site +1

$75K - $93K/yr

This position is open to remote work. Due to the needs of the business qualified candidates must ... Perform risk assessments and support audit planning, including identifying key risks, developing ...

centralins

Director of Internal Audit

Alpharetta, GA · On-site +1

Hybrid or Remote based on location Position type: Full time - salary We're a team of employees ... auditing practices * Ability to understand the audit lifecycle to evaluate and improve risk ...

centralins

Director of Internal Audit

Dublin, OH · On-site +1

Hybrid or Remote based on location Position type: Full time - salary We're a team of employees ... auditing practices * Ability to understand the audit lifecycle to evaluate and improve risk ...

Bcbsa

Financial Audit Senior Consultant

New Hampshire, OH · On-site +1

$104K/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

Delaware, OH · 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 ...

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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 Ohio?

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

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

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

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

The top searched job categories for Remote 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:

Remote Risk Adjustment Auditor jobs near you
Infographic showing various Remote Risk Adjustment Auditor job openings in Ohio as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Remote Nurse Practitioner

OH • Remote

Purposelink Recruitment
See more jobs at Purposelink Recruitmentexternal

Full-time

Posted 16 days ago

Job description

Qualifications

Required
  • Master's degree or higher in Nursing or a related clinical field
  • 2+ years of experience in any of the following:
    • Telemedicine Care
    • Minimum 2 years of telephone triage experience
    • Care Management
  • Active clinical licensure — any of the following:
    • Nurse Practitioner (NP) – Ohio
    • Family Nurse Practitioner (FNP) – Ohio
  • OR any of the following nationally recognized NP certifications:
    • Family Nurse Practitioner (FNP)
    • Nurse Practitioner (NP)
    • Gerontological Nurse Practitioner (GNP)
Preferred
  • 1+ years of Managed Care experience, especially with Medicaid or Dual Eligible (D‑SNP) populations
  • Experience working in interdisciplinary care teams
  • Familiarity with HCC coding, risk adjustment, STAR ratings, and HEDIS quality measures
  • Background in home‑based care, transitional care, or chronic disease management
Overview Salary 135k

Join our client's innovative healthcare team to deliver virtual, physician‑led care for medically complex Medicaid and Dual Eligible patients across Delaware. This role offers flexibility, autonomy, and the opportunity to help launch a new market focused on proactive, home‑based care that improves patient outcomes and reduces avoidable hospitalizations.

Key Responsibilities
  • Provide comprehensive care management for medically complex Medicaid and D‑SNP patients through telehealth and remote monitoring
  • Collaborate with physicians, RNs, social workers, therapists, caregivers, PCPs, managed care organizations, and community partners
  • Guide patients and caregivers through care transitions, including hospital‑to‑home coordination and advance care planning
  • Support quality initiatives through accurate clinical documentation, including HCC coding, risk adjustment, and closure of STAR/HEDIS gaps
  • Contribute to the development of care pathways, workflows, and best practices as the Delaware program expands
  • Build strong, trusting relationships with patients, families, caregivers, and interdisciplinary team members
Schedule & Shift Details
  • Participate in a shared 24/7 clinical triage rotation to prevent avoidable emergency department visits and hospitalizations