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Remote Risk Adjustment Auditor Jobs in Texas (NOW HIRING)

Datavant

Auditor, HCC Risk Adjustment Coding

Dallas, TX · Remote

$29 - $32/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... Excellent written and verbal communication skills, ability to work in a remote environment and time ...

Aston Carter

Risk Analyst

Houston, TX · Remote

... review, risk adjustment, diagnosis coding, and/or quality auditing. * 2-3 years of hands-on ... Dress code is typical for a professional remote work setting and may be adjusted as needed for ...

Datavant

HCC Risk Adjustment Coder

Dallas, TX · Remote

$25 - $26.70/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... Excellent written and verbal communication skills, ability to work in a remote environment, and ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Centene

Quality Practice Advisor

Corpus Christi, TX · On-site +1

$27.02 - $48.55/hr

Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · Remote

$63K - $95K/yr

The level may impact the salary range and these adjustments would be clarified during the offer ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · Remote

$70K - $107K/yr

The level may impact the salary range and these adjustments would be clarified during the offer ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · Remote

$63K - $95K/yr

The level may impact the salary range and these adjustments would be clarified during the offer ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · Remote

$70K - $107K/yr

The level may impact the salary range and these adjustments would be clarified during the offer ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · Remote

$63K - $95K/yr

The level may impact the salary range and these adjustments would be clarified during the offer ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · Remote

$63K - $95K/yr

The level may impact the salary range and these adjustments would be clarified during the offer ... CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for ...

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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 Texas?

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

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

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

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

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

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

Cities in Texas 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 Texas as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Auditor, Risk Adjustment Data Validation

San Antonio, TX • Remote

University Health
See more jobs at University Healthexternal

Full-time

Re-posted 12 hours ago

University Health System (San Antonio) rating

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

Job description

POSITION SUMMARY/RESPONSIBILITIES

The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed audits, analyzing data, and collaborating with providers and internal teams to support Hierarchical Condition Categories (HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized reports based on data analysis and provides actionable recommendations to enhance operational and clinical performance. Additionally, the position assists in managing data collection processes and develops procedures for monitoring, validating, and reconciling data for accuracy. Working closely with cross-functional teams, the auditor supports compliance, quality assurance, and risk mitigation strategies while contributing to the development of tools and processes to improve coding accuracy and audit efficiency.

EDUCATION/EXPERIENCE

Bachelor’s degree required. Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a willingness to obtain certification within 6–12 months of hire. Applicants should have 1–2 years of healthcare experience; prior coding experience is preferred. Strong analytical and problem-solving skills, coupled with attention to detail, are essential. Candidates must possess the ability to learn and apply ICD-10-CM coding principles, exhibit excellent communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.

LICENSURE/CERTIFICATION

Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Risk Adjustment Coder-CRC)

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