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Remote Risk Adjustment Auditor Jobs in Boca Raton, FL

This is a remote role with flexibility on base location, though occasional travel to client sites ... Our team focuses on increasing the return on investment and mitigating risk. Our professionals are ...

Exhibit a strong understanding of accounting and auditing rules. * Excellent verbal and written ... Remote and hybrid opportunities * Inclusive workplace, providing strong professional growth and ...

Showing results 21-23

Remote Risk Adjustment Auditor information

See Boca Raton, FL salary details

$28.9K

$68.9K

$111.5K

How much do remote risk adjustment auditor jobs pay per year?

As of Aug 16, 2026, the average yearly pay for remote risk adjustment auditor in Boca Raton, FL is $68,927.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,600.00 and $93,500.00 per year, depending on experience, location, and employer.

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 popular job titles related to Remote Risk Adjustment Auditor jobs in Boca Raton, FL?

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

What job categories do people searching Remote Risk Adjustment Auditor jobs in Boca Raton, FL look for?

The top searched job categories for Remote Risk Adjustment Auditor jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Remote Risk Adjustment Auditor jobs?

Cities near Boca Raton, FL with the most Remote Risk Adjustment Auditor job openings:

Service Finance - Home Improvement Dealer Advance and Progress Pay Manager - Remote Flexibility

Truist

Boca Raton, FL • On-site, Remote

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago


Truist rating

8.0

Company rating: 8.0 out of 10

Based on 119 frontline employees who took The Breakroom Quiz

71st of 171 rated banks


Job description

The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. After you click Apply Now and complete your application, you'll be invited to create a profile, which will let you see your application status and any communications. If you already have a profile with us, you can log in to check status.
Need Help?
If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response).
Regular or Temporary:
Regular
Language Fluency: English (Required)
Work Shift:
1st shift (United States of America)
Please review the following job description:
The Advanced Payment Program Manager owns the end-to-end enrollment, execution, and risk management of the Dealer Advance and Progress Pay programs, which collectively represent over 75% of Service Finance's total fundings. This role partners closely with prospective dealers and the Sales team to underwrite and decision program enrollment, balancing the firm's risk appetite with strong dealer relationships.
The manager also leads a team of 4-5 Dealer Advance and Progress Pay Analysts, overseeing active monitoring of advance pay agings and ensuring enrolled dealers adhere to the timelines and obligations outlined in the Advance Pay Master Dealer Agreements. Success in this role requires strong financial analysis, operational discipline, sound risk judgment, and the ability to lead a small team while working directly with dealer partners.
Essential Duties and Responsibilities:
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Own and maintain policies, procedures, and service-level agreements (SLAs) for the Dealer Advance and Progress Pay programs; evolve program frameworks as portfolio performance, regulations, and market conditions change.
2. Review dealer financial statements and assess going-concern risk, including liquidity position, debt service capacity, covenant compliance, and adverse financial trends.
3. Partner with the Risk Management organization to ensure alignment on risk appetite, dealer qualification standards, and program controls.
4. Work directly with prospective dealers to understand their business models, operational capacity, and advance pay requests.
5. Analyze prior dealer fundings, job turnover, and utilization trends to support the setting and ongoing adjustment of Progress Pay limits.
6. Lead, coach, and manage a team of 4-5 Dealer Advance and Progress Pay Analysts responsible for monitoring advance pay agings and ensuring compliance with program requirements and contractual timelines.
Required Qualifications:
1. 3+ years of relevant credit experience
2. Bachelor's degree, or equivalent education and related training or experience
3. Strong computer skills using Microsoft Office and internet
4. Able to use problem solving skills to identify and resolve customer and dealer related issues
5. Strong administrative experience Work well in a team environment
6. Ability to input data accurately
7. Maintain detailed records and files
8. Proven oral and written communication skills consistent with Service Finance standards
9. Provide a positive and professional attitude
10. Good organization and work prioritization skills
Preferred Qualifications:
5+ years of experience in commercial lending or credit risk.
Bachelor's or master's degree in Finance, Accounting, or a related field.
Experience with Truist's CLU processes and systems.
The annual base salary for this position is $80,000 - $100,000.
General Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on Truist's generous benefit plans, please visit our Benefits site. Depending on the position and division, this job may also be eligible for Truist's defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
Truist is an Equal Opportunity Employer that does not discriminate on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status, or other classification protected by law. Truist is a Drug Free Workplace.
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About Truist

Sourced by ZipRecruiter

Truist is combining distinctive personal service with investments in innovation to create transformational client experiences. We believe the unique blend of human touch and innovative technology will set us apart, instill confidence, and build deeper levels of trust with our clients

Industry

Finance and insurance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

Year founded

2019