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Remote Risk Adjustment Auditor Jobs in Mebane, NC

Strata Information Group

Project Manager

Raleigh, NC · Remote

$90K - $115K/yr

Work with the client to develop a risk management plan Required Qualifications * Five+ years of ... Remote work The listed salary range for this position is indicative and subject to adjustment based ...

Hireblazer

Senior SAS Project Manager

Raleigh, NC · Remote

The job is 100% remote; the duration is 6 months with a possibility of extension. Background ... Monitor profitability and budget burn, flagging overruns or margin risk to PMO leadership with a ...

Infojini Inc

Project Manager

Raleigh, NC · Remote

Manage the day to day SAS project scope, schedule, data, resources, quality, delivery, risk ... Proposes recommendations and adjustments. Perform analysis of business and user needs, documenting ...

UNC HEALTH

Medical Coder I - Hosp IP

Chapel Hill, NC · On-site +1

$23.24 - $33.41/hr

Accepts feedback from Auditor and evaluates results from audited records as needed for educational ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

DAN

Safety Services Specialist

Durham, NC · On-site +1

This position requires full-time, office based work and is not eligible for remote or hybrid ... Participate in the development of new risk mitigation, education and recompression chamber training ...

Princeton IT Services

SAS Project Manager

Raleigh, NC · Remote

Remote in US Technical Skills: PMP Certified, NOT PM's that have managed networking\hardware ... Monitor profitability and budget burn, flagging overruns or margin risk to PMO leadership with a ...

HedgeServ

Private Equity Supervisor

Raleigh, NC · On-site +1

Our solutions span the full investment lifecycle, including fund accounting, middle office, risk ... HedgeServ supports employees through a variety of offerings, including remote and hybrid working ...

HedgeServ

Investor Services Supervisor

Raleigh, NC · On-site +1

Our solutions span the full investment lifecycle, including fund accounting, middle office, risk ... HedgeServ supports employees through a variety of offerings, including remote and hybrid working ...

Infojini Inc

Project Manager

Raleigh, NC · Remote

Manage the day to day SAS project scope, schedule, data, resources, quality, delivery, risk ... Proposes recommendations and adjustments. Perform analysis of business and user needs, documenting ...

All JobsRisk Adjustment Auditor JobsRemote Risk Adjustment Auditor JobsRemote Risk Adjustment Auditor Jobs in Mebane, NC

Remote Risk Adjustment Auditor information

See Mebane, NC salary details

$26.4K

$62.8K

$101.6K

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

As of Aug 12, 2026, the average yearly pay for remote risk adjustment auditor in Mebane, NC is $62,782.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,600.00 and $85,100.00 per year, depending on experience, location, and employer.

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 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 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 cities near Mebane, NC are hiring for Remote Risk Adjustment Auditor jobs? Cities near Mebane, NC with the most Remote Risk Adjustment Auditor job openings:
Remote Risk Adjustment Auditor jobs near you

RCS Medical Coding Auditor (CPC, CPMA)

Veradigm

Raleigh, NC • On-site, Remote

$57K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Position Summary
The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.
The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights.
Key Responsibilities
  • Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback
  • Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
  • Conduct medical chart audits of professional services across multiple specialties
  • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
  • Support coding education through feedback, targeted training, and reference materials
  • Prepare clear, defensible audit documentation including rationale and references
  • Provide actionable recommendations to address audit findings and reduce future risk
  • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies
  • Support denial prevention, resolution and appeal strategies
  • Collaborate across teams to assist with coding support
  • Maintain confidentiality and comply with HIPAA and organizational policies

Required Qualifications
  • CPC (Required) and CPMA (Required/In Process)
  • 2+ years of ProFee auditing experience
  • Knowledge of:
    • E/M documentation guidelines
    • Modifier rules and NCCI edits
    • CPT, ICD-10-CM, HCPCS Level II
  • High attention to detail with strong analytical and critical-thinking skills
  • Excellent written and verbal communication skills for audit reporting and education
  • Proficiency with EHRs, coding and auditing tools
  • Proficiency with Microsoft Office Suite

Preferred Qualifications
  • Multi-specialty coding and auditing experience with preferred background in E/M Coding, Orthopedics, Pain Management, Urology
  • Background in coding quality programs or compliance teams
  • Advanced reporting skills for audit tracking and trend analysis
  • Prior consulting or client-facing audit experience

Compensation Range:
$57,728-$80,243
Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.
Enhancing Lives and Building Careers
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?
Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.
Visa Sponsorship is not offered for this position.
At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans
This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.
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