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Remote Risk Adjustment Auditor Jobs in Washington, DC

System One

Quality Control Analyst

Vienna, VA · Remote

$24.50 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - 3 days onsite and 2 days remote Hours: 40 hrs/week Security Clearance: No clearance but ... Ensure quality through data integrity and risk management. * Stay informed on industry, federal ...

System One

Quality Control Analyst

Vienna, VA · Remote

$24.50 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - 3 days onsite and 2 days remote Hours: 40 hrs/week Security Clearance: No clearance but ... Ensure quality through data integrity and risk management. * Stay informed on industry, federal ...

System One

Quality Control Analyst

Vienna, VA · Remote

$24.50 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - 3 days onsite and 2 days remote Hours: 40 hrs/week Security Clearance: No clearance but ... Ensure quality through data integrity and risk management. * Stay informed on industry, federal ...

System One

Quality Control Analyst

Vienna, VA · Remote

$24.50 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - 3 days onsite and 2 days remote Hours: 40 hrs/week Security Clearance: No clearance but ... Ensure quality through data integrity and risk management. * Stay informed on industry, federal ...

System One

Quality Control Analyst

Vienna, VA · Remote

$24.50 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - 3 days onsite and 2 days remote Hours: 40 hrs/week Security Clearance: No clearance but ... Ensure quality through data integrity and risk management. * Stay informed on industry, federal ...

System One

Quality Control Analyst

Vienna, VA · Remote

$24.50 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - 3 days onsite and 2 days remote Hours: 40 hrs/week Security Clearance: No clearance but ... Ensure quality through data integrity and risk management. * Stay informed on industry, federal ...

Constellis

Sr Cyber Security Engineer

VA · Remote

Report cyber risk posture and remediation progress; translate technical findings into terms ... Design and implement secure logging and auditing pipelines (ELK Stack/Splunk) to meet audit ...

Constellis

Sr Cyber Security Engineer

VA · On-site +1

Report cyber risk posture and remediation progress; translate technical findings into terms ... Design and implement secure logging and auditing pipelines (ELK Stack/Splunk) to meet audit ...

Interon IT Solutions

Product Owner

Chantilly, VA · Remote

#W2 Role Job Title - Product Owner Remote Role Role Overview We are seeking a Senior Product Owner ... Strong SAFe Product Owner craft (PI readiness, backlog hygiene, dependency/risk management) and

Guidehouse

Loan Review Managing Consultant

Washington, DC · On-site +1

$113K - $188K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

S. Small Business Administration (SBA) Office of Credit Risk Management (OCRM) by performing ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...

Guidehouse

Loan Review Senior Consultant

Mclean, VA · On-site +1

$98K - $163K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

S. Small Business Administration (SBA) Office of Credit Risk Management (OCRM) by performing ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...

Guidehouse

Loan Review Senior Consultant

Washington, DC · On-site +1

$98K - $163K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

S. Small Business Administration (SBA) Office of Credit Risk Management (OCRM) by performing ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...

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Showing results 41-60

All JobsRisk Adjustment Auditor JobsRemote Risk Adjustment Auditor JobsRemote Risk Adjustment Auditor Jobs in Washington, DC

Remote Risk Adjustment Auditor information

See Washington, DC salary details

$34.5K

$82.3K

$133.1K

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 Washington, DC is $82,264.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,200.00 and $111,600.00 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 the most commonly searched types of Risk Adjustment Auditor jobs in Washington, DC?

The most popular types of Risk Adjustment Auditor jobs in Washington, DC are:

What are popular job titles related to Remote Risk Adjustment Auditor jobs in Washington, DC?

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

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

The top searched job categories for Remote Risk Adjustment Auditor jobs in Washington, DC are:

Remote Risk Adjustment Auditor jobs near you

Quality Control Analyst

System One

Vienna, VA • Remote

$24.50 - $33/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 18 days ago

Job description

Job Title: Quality Control Analyst Location: Vienna, VA or Pensacola, FL Type: Contract, extension probable Compensation: W-2, rate is negotiable Work Model: Hybrid – 3 days onsite and 2 days remote Hours: 40 hrs/week Security Clearance: No clearance but full background check which includes criminal, credit and fingerprinting

Responsibilities

  • Review, analyze, and report on client's quality, service, and controls to improve operational efficiency and effectiveness, mitigate risk, and remediate operational and regulatory vulnerabilities.
  • Conduct quality control reviews of documentation, processes, and/or systems to ensure compliance with federal and state regulatory requirements, industry standards, and operating procedures.
  • Maintain data in the quality control system platform to ensure adherence with regulatory government agencies requirements.
  • Monitor corrective action target dates to ensure prompt remediation and control implementation to comply with regulatory government agencies requirements.
  • Maintain and update quality control procedural manuals, job aides, and tools.
  • Evaluate decisions, process adherence, and regulatory requirements for compliance with applicable laws and guidelines.
  • Assess documentation for completeness, accuracy, and adherence to internal standards to identify issues and reduce potential risk exposure.
  • Perform and validate comprehensive gap analyses to identify root causes of process gaps and compliance failures.
  • Review and audit documentation, files, and transactions for process and documentation compliance.
  • Develop solutions for quality issues and assist with the implementation of corrective actions.
  • Ensure quality through data integrity and risk management.
  • Stay informed on industry, federal, and state regulatory changes and understand impacts on processes.
  • Recognize red flags/misrepresentations and report appropriately.
  • Research escalated issues and collaborate on resolutions.
  • Gather, analyze, and synthesize data for presentations and reports.
  • Assist in maintaining a compliant Quality Control Program.
  • Maintain organized documentation related to quality and deficiencies.

Requirements

  • Bachelor’s Degree in Business Administration, Auditing, or related field or equivalent training, education, and experience
  • Basic knowledge or experience of the banking industry
  • Familiarity with credit union, lending, or banking principles, systems, policies, and techniques
  • Experience identifying analytical problems, diagnostic methods, and solving complex issues
  • Customer service and relationship management skills
  • Creative problem-solving and decision-making skills
  • Strong organizational, planning, and time management skills
  • Ability to interpret, apply, and follow data, instructions, and regulations accurately
  • Effective presentation skills for conveying findings clearly across all organizational levels
  • Experience managing multiple priorities independently or within a team
  • High attention to detail and ability to meet deadlines
  • Proficiency in Word, PowerPoint, and spreadsheet software
  • Research, analytical, and problem-solving abilities
  • Knowledge of operational and regulatory risk controls and practices
  • Basic understanding of client functions, policies, services, systems, and organizational objectives
System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M1 #LI-CB3

Ref: #851-Rockville-S1