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Remote Risk Adjustment Auditor Jobs in Pittsburgh, PA

Solventum

CDI Growth Manager

Pittsburgh, PA · On-site +1

... risk adjustment, reimbursement optimization, regulatory requirements, and emerging healthcare ... Work Location - Remote Travel - upto 50% Relocation Assistance - Not Authorized Work Authorization ...

Healthcare

CDI Growth Manager

Pittsburgh, PA · Remote

... risk adjustment, reimbursement optimization, regulatory requirements, and emerging healthcare ... Work Location - Remote Travel - upto 50% Relocation Assistance - Not Authorized Work Authorization ...

Synopsys

Accounting, Staff - 17706

Canonsburg, PA · On-site +1

$87K/yr

... Remote Eligible Yes Base Salary Range: $87000 - $130000 Descriptions & Requirements and ... Help prepare revenue audit packages for external auditors during quarterly reviews and year-end ...

All JobsRisk Adjustment Auditor JobsRemote Risk Adjustment Auditor JobsRemote Risk Adjustment Auditor Jobs in Pittsburgh, PA

Remote Risk Adjustment Auditor information

See Pittsburgh, PA salary details

$29.6K

$70.5K

$114.1K

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

As of Aug 18, 2026, the average yearly pay for remote risk adjustment auditor in Pittsburgh, PA is $70,514.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,600.00 and $95,600.00 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 are popular job titles related to Remote Risk Adjustment Auditor jobs in Pittsburgh, PA?

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

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

The top searched job categories for Remote Risk Adjustment Auditor jobs in Pittsburgh, PA are:

What cities near Pittsburgh, PA are hiring for Remote Risk Adjustment Auditor jobs?

Cities near Pittsburgh, PA with the most Remote Risk Adjustment Auditor job openings:

Remote Risk Adjustment Auditor jobs near you
Infographic showing various Remote Risk Adjustment Auditor job openings in Pittsburgh, PA as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $70,514 per year, or $33.9 per hour.

JB061817 - Technical Project Manager (Dat

USM

Pittsburgh, PA • On-site, Remote

Contractor

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

Job description

  • Start Date: Interview Types
  • Skills 8-10 years of projec.. Visa Types Green Card, US Citiz..

    • Job Title: Technical Project Manager (Data Controls & Compliance Reporting)
    Location: Pittsburgh, PA (REMOTE)
    Duration: 6-12 Months Contract
    Job Description:
    Experienced Technical Project Manager to lead Data Controls and Compliance Reporting initiatives. This role will serve as the primary liaison between auditors, business stakeholders, data owners, compliance teams, and technology teams to ensure effective governance, control execution, reporting accuracy, and timely remediation of audit findings. The ideal candidate combines strong project management expertise with a solid understanding of data governance, controls, risk management, and regulatory compliance.
    Key Responsibilities
    • Lead end-to-end delivery of data controls, compliance reporting, and audit-related projects.
    • Partner with internal and external auditors to facilitate audits, walkthroughs, evidence collection, and remediation tracking.
    • Coordinate with business stakeholders, data owners, compliance, risk, and technology teams to ensure control effectiveness.
    • Establish and manage project plans, timelines, RAID logs, dependencies, and stakeholder communications.
    • Oversee the design, implementation, and monitoring of data quality, security, and governance controls.
    • Drive issue resolution and remediation activities arising from audits, risk assessments, and compliance reviews.
    • Develop executive-level status reports, dashboards, and presentations for leadership.
    • Ensure compliance with regulatory, corporate governance, and internal control requirements.
    • Facilitate governance meetings and track action items to closure.
    • Identify opportunities to automate controls, reporting, and audit evidence collection processes.

    Required Qualifications
    • Bachelor's degree in information technology, Computer Science, Business, or related field.
    • 8-10 years of project/program management experience in data, compliance, governance, or audit-related initiatives.
    • Strong understanding of Data Governance, Data Quality, Data Controls, Risk Management, and Compliance frameworks.
    • Experience working with internal/external auditors and managing audit remediation programs.
    • Proficiency with project management methodologies (Agile, Waterfall, Hybrid).
    • Strong stakeholder management and executive communication skills.
    • Experience with reporting and visualization tools such as Power BI, Tableau, or similar platforms.
    • Knowledge of regulatory frameworks such as SOX, GDPR, CCPA, or industry-specific compliance standards is preferred.

    Apply