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Remote Risk Adjustment Auditor Jobs in Texas (NOW HIRING)

Staff Auditor (Intermediate Level)

Plano, TX · On-site +1

$69K - $133K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... You will perform risk and control identification and evaluation, increasingly complex audit ...

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... You will perform risk and control identification and evaluation, increasingly complex audit ...

This remote, work-from-home role offers significant client engagement, international exposure, and ... Provide objective, credible assessments that support compliance, risk management, and continuous ...

This remote, work-from-home role offers significant client engagement, international exposure, and ... Provide objective, credible assessments that support compliance, risk management, and continuous ...

This remote, work-from-home role offers significant client engagement, international exposure, and ... Provide objective, credible assessments that support compliance, risk management, and continuous ...

This remote, work-from-home role offers significant client engagement, international exposure, and ... Provide objective, credible assessments that support compliance, risk management, and continuous ...

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 ...

Clinical Review QC Auditor

Fort Worth, TX · On-site +1

$68K - $104K/yr

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 ...

Clinical Review QC Auditor

Fort Worth, TX · On-site +1

$68K - $104K/yr

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 ...

EHS Auditor / Consultant

Dallas, TX · Remote

$102K - $127K/yr

South/Southeast USA - remote with up to 50% travel to client site Contract: Full-time, permanent ... S., including regulatory compliance and risk-based audits * Perform hands-on environmental ...

Coding Educator/Auditor

San Antonio, TX · Remote

$23.50 - $26.75/hr

Provides onsite and remote quality assurance reviews/audits with appropriate compliance with ... Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI, and Quality ...

Coding Educator/Auditor

San Antonio, TX · Remote

$24.50 - $28/hr

Provides onsite and remote quality assurance reviews/audits with appropriate compliance with ... Provides and monitors instructions/education provided to Providers, Coding, Risk, CDI, and Quality ...

Senior Internal Auditor

Austin, TX · On-site +1

$83K - $104K/yr

... complexity, risk, and professional judgment. Work independently with limited supervision and ... Contribute to the development of audit methodologies and templates and recommend scope adjustments ...

Senior Internal Auditor

Austin, TX · On-site +1

$83K - $104K/yr

... complexity, risk, and professional judgment. Work independently with limited supervision and ... Contribute to the development of audit methodologies and templates and recommend scope adjustments ...

Showing results 21-40

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

Cities in Texas with the most Remote Risk Adjustment Auditor job openings:

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.

Staff Auditor (Intermediate Level)

Plano, TX • On-site, Remote

USAA
Finance and Insurance • 10K+ employees

$69K - $133K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 4 days ago. Applications are no longer accepted.


Key responsibilities

  • Perform audit assignments in support of the annual audit plan and audit priorities.

  • Test basic business, application, and IT general controls independently and accurately.

  • Identify control deficiencies, discuss findings with audit management, and support control improvement recommendations.


USAA rating

8.2

Company rating: 8.2 out of 10

Based on 265 frontline employees who took The Breakroom Quiz


Job description

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful.

We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.

The Opportunity

As a dedicated Staff Auditor, you will perform audit assignments and identify problems for resolution in support of risk-based assurance and advisory engagements across the organization. You will apply learning knowledge of financial services regulations to audit assignments. You will perform risk and control identification and evaluation, increasingly complex audit techniques, research and analysis, and conducts client meetings and interviews. You will adhere to the Institute of Internal Auditors' International Standards for the Professional Practice of Internal Auditing (Standards) and Code of Ethics.

We offer a flexible work environment that requires an individual to be in the office 4 days per week.

This position can be based in one of the following office locations: Charlotte, NC, San Antonio, TX, Plano, TX, or Tampa, FL.

Relocation assistance is not available for this position.

What you'll do:

  • Executes audit program assignments timely and professionally with guidance and support from the Auditor-in-Charge (AIC) in support of the annual audit plan and audit priorities.

  • Independently and accurately tests basic business, application, and/or IT general controls (ITGC).

  • Identifies control deficiencies in testing, discusses with Auditor-in-Charge (AIC) and/or Audit management and begins to understand how to initiate control improvement recommendations for assigned work.

  • Reviews, analyzes, and interprets data collected from multiple sources to ensure valid conclusions are drawn during testing.

  • Attends and participates in team audit activities like planning and scoping, business understanding/walkthroughs, review of risk assessment and testing for assigned areas of responsibility and demonstrates critical thinking ability.

  • Executes on audit documentation techniques including key risks and controls alignment to audit test objectives and conclusions; is accountable for completing own work paper documentation within quality standards.

  • Communicates effectively and shares findings and audit reports with AIC, team members, and may present to business leaders.

  • Provide updates to the engagement level risk & control matrix and other audit documentation as deemed appropriate by AIC or team leadership.

What you have:

  • Bachelor's degree in Business, Finance, Accounting, Business, Information Technology or related field; OR 4 years of relevant education and/or experience.

  • If Bachelor's degree, 2 years of audit, financial, insurance, banking, information technology or related business experience.

  • Experience applying audit, risk or compliance acumen in a business/professional environment.

  • If advanced degree, up to 2 years of experience applying audit, risk, or compliance acumen in a business/professional environment.

  • Experience effectively communicating Controls with business partners.

What sets you apart:

  • Experience in public accounting with a focus on auditing within the financial services industry.

  • CPA (Certified Pubic Accountant) or CIA (Certified Internal Auditor) Certification(s).

  • US military experience gained through military service or gained as a military spouse / domestic partner.

Compensation range: The salary range for this position is: $69,920.00 - $133,620.00.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


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