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Remote Risk Adjustment Auditor Jobs in Denver, CO

DaVita, Inc.

Director, Product Value Based Care

Denver, CO · On-site +1

$239K - $251K/yr

We prefer a hybrid schedule, but are open to fully remote candidates. At DaVita, we are building an ... and/or risk adjustment. * Strategic Communication: Exceptional ability to synthesize complex ...

Thrive Financial Recruiting

Audit Staff or Senior

Denver, CO · On-site +1

$92K - $127K/yr

This is a mostly remote role, but ideally based in Colorado (or nearby state). The work is remote ... Responsibilities: * Lead planning and scoping for external financial audits, including risk ...

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All JobsRisk Adjustment Auditor JobsRemote Risk Adjustment Auditor JobsRemote Risk Adjustment Auditor Jobs in Denver, CO

Remote Risk Adjustment Auditor information

See Denver, CO salary details

$31.4K

$74.8K

$120.9K

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

As of Aug 25, 2026, the average yearly pay for remote risk adjustment auditor in Denver, CO is $74,760.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,400.00 and $101,400.00 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 Denver, CO?

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

What job categories do people searching Remote Risk Adjustment Auditor jobs in Denver, CO look for?

The top searched job categories for Remote Risk Adjustment Auditor jobs in Denver, CO are:

Remote Risk Adjustment Auditor jobs near you

Registered Nurse, Clinical Documentation Integrity Specialist

Denver, CO • On-site, Remote

DaVita, Inc.
Health Care and Social Assistance • 10K+ employees

7.0

Company rating: 7.0 out of 10

Based on 1,182 frontline employees who took The Breakroom Quiz

414th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about DaVita, Inc.external

$35.75 - $48/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Posting Date
08/20/2026
2000 16th St, Denver, Colorado, 80202-5117, United States of America
A detail-oriented, clinically trained Registered Nurse that can provide expertise, education, coaching, and guidance on clinical practice and documentation to improve our clinical outcomes and increase the quality of provider documentation for diagnosis evaluation and quality metrics. This individual will serve as a role model and facilitator within the clinical documentation integrity team and support the leadership team with the execution of the department's strategic goals. They are self-directed and possess advanced analytical skills, critical thinking, creativity, and the ability to anticipate and identify opportunities and potential problems.
Key Responsibilities:
  • Performs clinical chart reviews to ensure documentation accuracy by applying established clinical criteria for diagnosing medical conditions.
  • Applies their clinical knowledge to evaluate how provider documentation, lab results, diagnostic information, and treatment plans translate into coded data.
  • Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
  • Communicate with providers and other healthcare team members to clarify information or provide additional documentation when needed.
  • Work directly with clinicians to improve the overall quality and completeness of documentation through the query process and/or provider education (correct disease processes and disease severity, complexity, and acuity with an eye towards accurate medical coding).
  • Collaborates with team members as part of the clinical review process to promote high accuracy and consistency of results.
  • Meets accuracy and productivity metrics to ensure the team achieves established departmental goals.
  • Communicates with DaVita leaders to address documentation issues and trends.
  • Actively participates in all department meetings as scheduled.
  • Conduct individual and large group educational sessions for clinicians and medical coders (or other staff as applicable).
  • Partner with data analytics, coding, compliance and education departments for onboarding, ongoing and targeted education for all IKC APPs and IKC partner providers on documentation requirements for Medicare risk adjustment.
  • Flexible and able to adapt to change based on departmental needs.
  • Excellent analytical and critical thinking skills.
  • Excellent verbal/written communication and interpersonal skills.
  • Ability to work independently and as part of a team in a fast-paced environment.
  • Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 times per year).

Preferred Qualifications:
  • Associate's degree with a current active clinical license (RN) (required)
  • CCDS-O or CDIP (required or must be obtained within six months of hire)
  • CRC (required or must be obtained within one year of hire)
  • 5+ years of clinical experience as a Registered Nurse (adult-geriatric or family) (preferred)
  • 3+ years of clinical documentation improvement experience, coding experience, or equivalent (required)
  • 1+ year of experience working with advanced practice providers as well as other clinical and non-clinical staff (required)
  • Solid clinical background in evidence-based medicine, including chronic disease management and prevention.
  • Experience in ICD-10 coding and documentation requirements and risk adjustment.
  • Knowledge of compliant query writing/process.
  • Ability to perform a comprehensive chart review of 20-30 medical records daily, with workload variations based on daily tasks.
  • Technical experience using EMR systems.
  • Proficiency in MS applications (Excel, Outlook, Teams, PowerPoint, Word)
  • Ability to travel for on-site meetings 2-4 times per year.
  • Motivated self-starter and creative problem-solver who is comfortable working in a fast-paced, dynamic environment.

A Shining Star for our Clinical Documentation Integrity (CDI) RN will have:
  • Expert-level knowledge of Medicare risk adjustment, documentation, and coding requirements.
  • 2+ years experience of experience providing risk adjustment education or management.
  • 4+ years experience developing educational content for clinical professionals, including NPs, PAs, RNs, and/or physicians, pharmacists, etc.
  • Associate's degree in nursing required.
  • Comfortable presenting via Teams or in-person
  • Possess strong technical skills, including Excel, Word, PowerPoint and Outlook.
  • Coding certification from AAPC or AHIMA professional coding association or additional coursework/experience in coding and Risk Adjustment. These include but are not limited to:
  • CPC, CRC, CCDS-O or CDIP.
  • Expert experience working with Medicare Advantage programs and CMS Risk Adjustment model.
  • Previous work experience in clinical documentation review or a clinical quality program.
  • Experience developing and delivering clinical education and training.

What We'll Provide:
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
  • Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
  • Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
  • Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

#LI-CM5
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
This position will be open for a minimum of three days.
The Salary Range for the role is $78,000.00 - $119,000.00 per year.
If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.
New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour
Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.71/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour
For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
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About DaVita

Sourced by ZipRecruiter

DaVita is a healthcare company that provides compassionate, quality healthcare. The company’s mission is to be the Provider, Partner, and Employer of Choice. DaVita serves more than 200,000 dialysis patients in 10 countries outside the U.S. and has over 55,000 teammates in the U.S. Since 2011, DaVita teammates have donated $11 million to local nonprofits and have volunteered over 180,000 hours since 2006. DaVita has been on Fortune’s list of the world’s most admired companies for 15 years in a row.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Denver, CO, US

Year founded

1994

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