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Remote Risk Adjustment Auditor Jobs in Pilot Point, TX

Datavant

Auditor, HCC Risk Adjustment Coding

Dallas, TX · Remote

$29 - $32/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... Excellent written and verbal communication skills, ability to work in a remote environment and time ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

USAA

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

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 ...

Erm

Lead Auditor

Dallas, TX · Remote

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

Erm

Lead Auditor

Dallas, TX · Remote

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

BSI Group

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 ...

SmartIPlace

REQ :: Actuary

Dallas, TX · Remote

$60 - $65/hr

Fully remote, working Eastern hours. * More experience preferred, healthcare benefits experience ... risk, risk adjustment risk, Member risk/selection risk) at the market segment level. This study ...

Oscar Health

Associate, Actuarial

Dallas, TX · On-site +1

$111K - $145K/yr

This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois ... risk adjustment, reimbursement, and total cost of care. * Experience with SQL, Python, R, or other ...

Datavant

Payer Coding Ops Hourly

Dallas, TX · Remote

$25 - $26.70/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... Excellent written and verbal communication skills, ability to work in a remote environment, and ...

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Remote Risk Adjustment Auditor information

See Pilot Point, TX salary details

$29K

$69K

$111.6K

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

As of Sep 5, 2026, the average yearly pay for remote risk adjustment auditor in Pilot Point, TX is $68,991.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,600.00 and $93,600.00 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 cities near Pilot Point, TX are hiring for Remote Risk Adjustment Auditor jobs?

Cities near Pilot Point, TX with the most Remote Risk Adjustment Auditor job openings:

Remote Risk Adjustment Auditor jobs near you

Auditor, HCC Risk Adjustment Coding

Datavant

Dallas, TX • Remote

$29 - $32/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago

Datavant rating

7.1

Company rating: 7.1 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

150th of 226 rated it services

Job description

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. 
By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

What We're Looking For:

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work.

What You Will Do:

  • Audit coded charts assigned by quality supervisor per the client guidelines
  • Ability to move from different sets of client guidelines with minimal difficulty
  • Maintain a 95% quality average at a diagnosis level
  • Answer rebuttals entered on the auditor by coders and or auditors
  • Participate in weekly coding project review meetings
  • Any other tasks asked by quality supervisor

What You Need to Succeed: 

  • 2 years' HCC Coding experience
  • 2 years' HCC Auditing experience
  • Extensive knowledge of ICD -10
  • High school diploma or GED equivalent required
  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)
  • A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes
  • Ability to work in a fast-paced production environment while maintaining high quality
  • Must be able to follow instructions, meet deadlines and work independently
  • Ability to be flexible in work environment
  • Excellent written and verbal communication skills, ability to work in a remote environment and time management skills
  • Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data

What We Offer:

  • Comprehensive health, dental, and vision insurance
  • Paid time off (PTO) plan
  • Retirement savings plan
  • Flexible work arrangements
  • Opportunities for career growth and development
  • Employee wellness programs

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is:
$29—$32 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. 
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

For more information about how we collect and use your data, please review our Privacy Policy.

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