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Remote Risk Adjustment Auditor Jobs in Pilot Point, TX

Ensign Services

Accounting Reimbursement Analyst II

Dallas, TX · On-site +1

$59K - $77K/yr

... remote). About the Company: Ensign Services, Inc. ("ESI") is a subsidiary of The Ensign Group, Inc ... adjustments, including impacts to asset and liability accounts. * Collaborate with state auditors ...

Wiser

Junior Geospatial Technician (Remote)

Denton, TX · On-site +1

$16.50/hr

... risk and strong performance experience of an established GEOINT and Geospatial service provider ... Tasks include extraction, adjustment, or representation to meet specification or requirements of ...

Wiser

Junior Geospatial Technician (Remote)

Denton, TX · Remote

$16.50/hr

... risk and strong performance experience of an established GEOINT and Geospatial service provider ... extraction, adjustment, or representation to meet specification or requirements of our ...

JDA

Director of Security Compliance

Dallas, TX · Remote

Scottsdale, AZ / Dallas, TX / Remote (US) Synonymous Business Title (s): Security & Compliance ... TheBlue Yonder Governance,Risk,& Compliance (GRC)teamprotects that trust. We build and operate the ...

Sky Zone LLC

Incident Investigation Analyst

Dallas, TX · On-site +1

... Remote in O&O States Department: Risk & Safety Reports to: Director, Safety Travel: FLSA: Exempt ... Incident Auditing & Verification * Review and triage all field submitted incident reports relating ...

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All JobsRisk Adjustment Auditor JobsRemote Risk Adjustment Auditor JobsRemote Risk Adjustment Auditor Jobs in Pilot Point, TX

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 6, 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

Accounting Reimbursement Analyst II

Ensign Services

Dallas, TX • On-site, Remote

$59K - $77K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Key responsibilities

  • Prepare Medicare and Medicaid cost reports ensuring accuracy and compliance.

  • Analyze Medicaid reimbursement rates and evaluate the financial impact of regulations and audit adjustments.

  • Review payment and financial reports to identify, assess, and communicate cost report adjustments.

Ensign Group rating

6.5

Company rating: 6.5 out of 10

Based on 168 frontline employees who took The Breakroom Quiz

614th of 898 rated healthcare providers

Job description

Accounting Reimbursement Analyst II
Position Type: Full Time, non-exempt employee.
Compensation: Commensurate with experience.
Location: This position based onsite at our Dallas, TX Service Center and may offer a hybrid work option after a 90-day probationary period (not fully remote).
About the Company:
Ensign Services, Inc. (“ESI”) is a subsidiary of The Ensign Group, Inc. whose affiliated entities are considered national leaders in the fast-growing post-acute care industry. ESI provides service and support to over 378 facilities in the long-term care continuum that employ over 55,000 employees.
ESI is known as the “Service Center” and provides the facilities and leaders it serves with “back-office” support in areas such as accounting, construction, compliance, human resources, information technology, learning and development, legal and risk management and recruiting. This structure allows the onsite leaders and caregivers to focus on day-to-day care and operational issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people.
We take our core values of Celebration, Accountability, Passion for Learning, Love One Another, Intelligent Risk Taking, Customer Second, and Ownership (“CAPLICO”) seriously. We want an individual in this role who will demonstrate these values through actions and words.
About the Opportunity:
The Accounting Reimbursement Analyst II plays an important role in supporting Medicare and Medicaid reimbursement analysis. This position works largely independently while staying connected to a collaborative team environment. In this role, you will prepare and complete Medicare and Medicaid cost reports, analyze financial and operational data, and support reimbursement-related functions within the accounting department. You will also develop expertise in Medicaid reporting for assigned states and help maintain financial models used for rate setting and special payment programs.
This role is ideal for someone with a strong accounting foundation, solid analytical skills, and the ability to work independently while contributing to team success. You will partner with a growing client base across the U.S. to deliver accurate, timely reimbursement analysis and reporting.
If you’re looking to grow your expertise in reimbursement analysis while making a meaningful impact, we encourage you to apply today!
Job Duties and Responsibilities include, but are not limited to:
  • Prepare Medicare and Medicaid cost reports across multiple states, ensuring accuracy and compliance with state and federal requirements.
  • Analyze Medicaid reimbursement rates on a quarterly or annual basis, evaluating the financial impact of state regulations and proposed audit adjustments.
  • Review payment and financial reports to identify, assess, and communicate cost report adjustments, including impacts to asset and liability accounts.
  • Collaborate with state auditors and regulatory agencies, responding to inquiries and supporting audit processes.
  • Analyze key balance sheet and income statement accounts, including accrued expenses and revenue accounts related to reimbursement.
  • Reconcile receivable and payable accounts related to Medicare and Medicaid settlements, including bad debt.
  • Stay current on changes to Medicare and Medicaid regulations, reimbursement methodologies, and rate impacts to ensure ongoing compliance and accuracy.
  • Review monthly occupancy reports and support occupancy-related calculations used in reporting.
  • Collaborate closely with service center accounting teams, including payroll, accounts payable, accounts receivable, tax, general ledger, and financial reporting, to support accurate and timely financial processes.
  • Provide support for ad hoc projects and special initiatives as business needs arise.
Preferred Qualifications:
  • Bachelor’s degree or Masters in Accounting or Finance (or equivalent experience), preferred.
  • Minimum of 2-3 years of experience in accounting or reimbursement, required.
  • Proficiency with standard office software, including Outlook and Word, with advanced Excel skills, including experience working with large data sets and proficiency with formulas such as VLOOKUP, HLOOKUP, and XLOOKUP, as well as nested IF/AND/OR statements and pivot tables.
  • Multi-date Medicare and Medicaid reimbursement experience is a plus, but is not required.
  • Experience with or exposure to data analytics strongly preferred, but not required.
  • Ability to demonstrate a foundational understanding of cost reporting, is a plus, but not required.
  • Understanding of GAAP accounting principles.
  • Working knowledge of SQL is a plus, but not required.
  • Experience with Workday is a plus, but not required.
  • Experience with OneStream is a plus, but not required.
  • Strong communication skills, with excellent attention to detail and the ability to prioritize and manage multiple projects.
  • Eagerness to learn and grow, with a curiosity to build new skills and knowledge.
  • Ability to travel to our Service Center in CA and our facilities in TX is required.
Additional Information:
  • Pre‑employment criminal background screening required.
What We Offer:
We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans. We also believe in supporting our employee’s professional growth and development through our Learning Management System as well as training sessions and seminars. Take a look at these benefits (and more!) at www.ensignbenefits.com.
Ensign Services, Inc. is an equal opportunity employer. If you need assistance or accommodation during the application process, please contact us at 888-659-3616.
Job ID 1535

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