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Remote Risk Adjustment Auditor Jobs in Oregon (NOW HIRING)

Senior Financial Analyst, Risk Adjustment

$85K - $106K/yr

Join HealthEdge as a Senior FP&A Analyst - Risk Adjustment and play a vital role in shaping our ... Work across multiple time zones in a hybrid or remote work environment. * Long periods of time ...

... risk? Do you enjoy reviewing information, identifying patterns, and helping teams improve their ... This position is remote, with occasional travel to the corporate office. Essential Job Duties

Coding Compliance Auditor

OR · Remote

$75K - $90K/yr

... risk-bearing provider. This highly visible role supports ongoing compliance and operational ... remote-first, high-growth environment. * Review medical records and clinical documentation to ...

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ... The level may impact the salary range and these adjustments would be clarified during the offer ...

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Internal Auditors

Salem, OR · Remote

$84K - $105K/yr

... Internal Auditor will execute complex internal financial and/or operational audits and risk ... Location This position has been designated as fully remote in the U.S. The Main Responsibilities ...

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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 Oregon? For Remote Risk Adjustment Auditor jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Auditor jobs in Oregon look for? The top searched job categories for Remote Risk Adjustment Auditor jobs in Oregon are:
What cities in Oregon are hiring for Remote Risk Adjustment Auditor jobs? Cities in Oregon with the most Remote Risk Adjustment Auditor job openings:
Infographic showing various Remote Risk Adjustment Auditor job openings in Oregon as of July 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 100% Remote job distribution.
Senior Financial Analyst, Risk Adjustment

Senior Financial Analyst, Risk Adjustment

HealthEdge

On-site, Remote

$85K - $106K/yr

Full-time

Posted 15 days ago


Job description

Overview

Position Overview:

Join HealthEdge as a Senior FP&A Analyst - Risk Adjustment and play a vital role in shaping our financial future. In this position, you will be responsible for preparing and analyzing financial forecasts, providing insightful recommendations, and contributing to strategic decision-making supporting the Risk Adjustment organization. This role will combine strong financial acumen with advanced analytical and data capabilities to improve forecasting accuracy, reporting efficiency, and scalable decision support.

About Center of Excellence:

Centers of Excellence (COE) are teams whose primary goal is to provide expertise in a specific field. COEs will usually provide support through training, research, and skilled leaders. In the case of HealthEdge, our Centers of Excellence incorporate the Human Resources, IT, Legal and Financial fields, all of which provide support to our Product divisions and allow the enterprise to move forward and achieve its goals.

What You Will Do:

  • Serve as an FP&A business partner to leaders within the Risk Adjustment organization
  • Prepare monthly revenue and expense forecasts for HealthEdge's Risk Adjustment P&L
  • Build, maintain, and enhance complex financial models to support monthly forecasts, annual budgets, and long-range planning
  • Prepare and deliver monthly and year-to-date management reporting packages, including KPI tracking and variance analysis
  • Assist with financial analyses, executive commentary, and presentation materials for monthly executive and operational reviews
  • Provide deep technical and analytical expertise when responding to complex, ad-hoc reporting and data requests
  • Partner with Finance, IT, and business stakeholders on system implementations, upgrades, and migrations impacting financial planning and reporting
  • Design and enhance automated reporting, dashboards, and data models to reduce manual effort and improve accuracy and timeliness
  • Develop and maintain a quantitative and qualitative analytics framework that integrates financial, operational, and performance data
  • Identify opportunities for process standardization, automation, and efficiency gains across forecasting, reporting, and analysis workflows
  • Support continuous improvement initiatives that enable FP&A to scale effectively with the growth of the business

What You Bring:

  • 3-5 years of experience in Corporate FP&A, finance business partnering, or related analytical roles
  • Bachelor's degree in finance, Economics or similar subject area; Master's degree preferred
  • Strong understanding of P&L with an ability to link operational drivers to financial outcomes and communicate insights clearly to non-financial audiences
  • Solid understanding of GAAP accounting principles and financial reporting
  • Exceptional communication skills (written, verbal, and presentation) with demonstrated experience supporting cross-functional stakeholders at all levels within an organization; experience partnering with Product, Operations, or Healthcare-related teams is a plus
  • Ability to prioritize tasks, work on multiple engagements and manage rapidly changing assignments in a team environment; taking an action-oriented and solution-focused approach
  • Highly organized with a focus on building standardized, efficient, and scalable processes to enable meeting tight deadlines in a fast-paced environment
  • Experience supporting or participating in financial system implementations, migrations, or planning tool enhancements a plus
  • Advanced Microsoft Excel (financial modeling, complex formulas, large datasets); experience with SQL, BI tools, or automation platforms is a strong plus
  • Experience using Oracle Enterprise Performance Management (EPM) / Planning and Budgeting Cloud Solution strongly preferred

HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.

Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the US

Type of Employment: Full-time, permanent

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

  • The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
  • Work across multiple time zones in a hybrid or remote work environment.
  • Long periods of time sitting and/or standing in front of a computer using video technology.
  • May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

#LI-Remote

**The annual US base salary range for this position is $102,000 to $108,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview process and is based on a combination of factors including, but not limited to,your skills, experience,qualificationsand education. 

Employment Type: FULL_TIME

HealthEdge logo

About HealthEdge

Sourced by ZipRecruiter

Health Edge ® provides modern, disruptive technology that delivers for the first time, a suite of products that enables healthcare payors to leverage new business models, improve outcomes, drastically reduce administrative costs and connect everyone in the healthcare delivery cycle. Our next-generation enterprise product suite, HealthRules ®, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or on-site deployment. An award-winning company, HealthEdge empowers payors to capitalize on the innovations, challenges and opportunities that await in the new healthcare economy. For more information, visit .

Industry

Computer and computer peripheral equipment and software wholesalers

Company size

201 - 500 Employees

Headquarters location

Burlington, MA, US

Year founded

2005

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