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Remote Risk Adjustment Auditor Jobs in Valencia, CA

Circle

Senior Manager, Internal Audit

Los Angeles, CA · On-site +1

$175K - $227K/yr

Act as a strategic partner to Circle National Trust's senior leadership, risk owners and bank ... What you'll bring to Circle: * 10+ years of progressive experience in auditing public companies ...

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Remote Risk Adjustment Auditor information

See Valencia, CA salary details

$30.9K

$73.6K

$119K

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 Valencia, CA is $73,554.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,600.00 and $99,700.00 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 Valencia, CA are hiring for Remote Risk Adjustment Auditor jobs?

Cities near Valencia, CA with the most Remote Risk Adjustment Auditor job openings:

Remote Risk Adjustment Auditor jobs near you

Remote Housing Coordinator

York Risk Services

Los Angeles, CA • Remote

$18/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Remote Housing Coordinator

SCHEDULE: Monday - Friday 12pm-9pm EST

PRIMARY PURPOSE: To coordinate customized temporary housing solutions for displaced policyholders in a fast-paced, service-driven environment. This role demands strong communication, research, negotiation, and multitasking skills to ensure insureds are matched with suitable like, kind, and quality accommodations. The Housing Coordinator serves as both a client advocate and housing specialist-blending empathetic support, strategic property research, and lease coordination to secure safe, comfortable, and comparable housing while delivering an elevated service experience with urgency and professionalism.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
  • Support and promote Sedgwick's mission, strategic vision, and value proposition to adjusters and policyholders.
  • Serve as a key point of contact for policyholders during their relocation, ensuring consistent communication, clear expectations, and empathetic support.
  • Qualify housing needs by gathering details about the insured's lifestyle, household makeup, accessibility needs, pet considerations, and preferred amenities.
  • Conduct detailed market research using listing platforms, vendor databases, and internal tools to locate viable, like-kind-and-quality housing options.
  • Collaborate with corporate and independent housing vendors, landlords, and leasing agents to secure short-term rentals under time-sensitive circumstances.
  • Apply negotiation skills to secure favorable lease terms, maximize policy benefits, and stay within Additional Living Expense (ALE) guidelines.
  • Customize housing options that align with both policy coverage and the insured's expectations-balancing budget, availability, and quality.
  • Maintain high touch service throughout the policyholder's stay, proactively resolving issues and supporting lease extensions, furniture adjustments, and service needs.
  • Draft and review lease agreements and related documents with attention to detail and policy compliance.
  • Enter and maintain accurate data in housing databases, CRM tools, and internal platforms.
  • Stay informed of local rental trends, landlord regulations, and insurance housing best practices to advise clients and partners effectively.
  • Handle multiple claims and assignments at once with professionalism and urgency.
  • Serves as the point of contact for VIP clientele.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).

QUALIFICATIONS

Education & Licensing
Bachelor's degree or equivalent from an accredited college or university preferred.

Experience

Two (2) years experience in inside sales, customer service, or account management. Previous experience in insurance, temporary housing, corporate lodging, or real estate strongly preferred.

Skills & Knowledge

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines


Physical:Computer keyboarding, travel as required


Auditory/Visual:Hearing, vision and talking


NOTE:Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $17-$18/hr. Always accepting applications.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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