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Remote Risk Adjustment Auditor Jobs in Virginia (NOW HIRING)

TestPros

ISO 27001 SME (Part Time & Remote)

Sterling, VA · On-site +1

$60 - $105/hr

Conduct risk assessments and develop risk treatment plans to mitigate information security risks ... Collaborate with external auditors and regulatory bodies as needed. Qualifications: * Bachelor ...

Appodeal

Accounting Manager

Alexandria, VA · Remote

We have offices in Warsaw, Barcelona and Parkland (FL), along with remote team members located ... Review and approve journal entries, account reconciliations, accruals, and adjustments. * Maintain ...

McFadyen Digital

VP of Accounting - Remote

Vienna, VA · Remote

Primary contact for external auditors, tax advisors, bankers, and lenders. Manage all deliverables ... Support review of customer and vendor contracts from a financial and risk perspective * Process and ...

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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 Virginia?

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

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

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

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

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

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

Cities in Virginia 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 Virginia as of September 2026, with employment types broken down into 100% Full Time. Highlights an 5% Hybrid, and 95% Remote job distribution.

ISO 27001 SME (Part Time & Remote)

Sterling, VA • On-site, Remote

TestPros
IT Services • 11 - 50 employees
Learn more about TestProsexternal

$60 - $105/hr

Part-time

Re-posted 4 days ago

Job description

TestPros delivers innovative independent IT assessment solutions to critical challenges facing the nation and the world. We support the U.S. Federal Government and Commercial clients within the continental USA. TestPros is dedicated to making lives better, safer and more secure.
We are seeking an experienced ISO 27001 Subject Matter Experts to join our team and help us maintain and improve our information security management system (ISMS).
Start: Future projects late 2026 or 2027 (not an immediate job opening)
Type: Part-time consulting
Overview
The ISO 27001 SME will be responsible for leading and managing the development, implementation, and maintenance of our ISMS in accordance with ISO 27001 standards. The ideal candidate will have extensive experience in information security management, a deep understanding of ISO 27001 requirements, and a proven track record of achieving and maintaining certification.
Key Responsibilities:
  • Lead the design, implementation, and maintenance of the ISMS in compliance with ISO 27001 standards.
  • Conduct risk assessments and develop risk treatment plans to mitigate information security risks.
  • Coordinate and conduct internal audits to ensure ongoing compliance with ISO 27001 and prepare the organization for external audits.
  • Develop and deliver training programs to raise awareness of information security policies and procedures across the organization.
  • Work closely with cross-functional teams to ensure information security is integrated into all business processes and projects.
  • Maintain up-to-date documentation of the ISMS, including policies, procedures, and audit records.
  • Monitor and report on the performance of the ISMS, including metrics and key performance indicators (KPIs).
  • Stay current with the latest developments in information security and ISO 27001 standards to ensure continuous improvement of the ISMS.
  • Provide expert guidance and support to the organization on all matters related to ISO 27001 and information security.
  • Collaborate with external auditors and regulatory bodies as needed.
Qualifications:
  • Bachelor's degree in Information Security, Computer Science, Information Technology, or a related field.
  • Minimum of 5 years of experience in information security management, with a focus on ISO 27001.
  • In-depth knowledge of ISO 27001 standards and best practices for information security management.
  • Experience conducting risk assessments and managing risk treatment plans.
  • Strong project management skills with the ability to lead cross-functional teams.
  • Excellent communication and interpersonal skills, with the ability to effectively train and educate employees on information security practices.
  • Strong analytical and problem-solving skills.
  • Ability to stay current with the latest industry trends and developments in information security.
Preferred Qualifications:
  • Master's degree in Information Security, Computer Science, Information Technology, or a related field.
  • ISO 27001 Lead Auditor or Lead Implementer certification
  • Additional certifications such as CISSP, CISM, or CISA.
  • Experience working in a [specific industry, e.g., finance, healthcare, technology] environment.

Rate: $60-105/hr (1099 or Corp. To Corp.). This range represents a good-faith estimate and is not a guarantee; final compensation is determined by factors such as experience, qualifications, and government contract labor rate requirements and may fall outside the stated range.
Equal Opportunity Employer
TestPros is an equal-opportunity employer and does not discriminate in employment based on race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or any other non-merit factor.
Offer Considerations
TestPros considers several factors when extending an offer, including but not limited to, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, geographic location, education, and certifications.
Federal Compliance
As a federal contractor, TestPros is subject to all federal and state mandates and/or other customer requirements.

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