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Remote Risk Adjustment Auditor Jobs (NOW HIRING)

Centene

Sr. Actuarial Analyst - Risk Adjustment

OR · On-site +1

$70K - $126K/yr

The Senior Actuarial Analyst is responsible for supporting risk adjustment programs by ensuring the ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Virtix Health LLC

HCC Coding Quality Specialist

All HCC/Risk Adjustment auditors MUST be certified through either the AAPC or AHIMA ... Remote Work from home (within the U.S. ONLY). You need a HIPAA compliant home office, high-speed ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective ... Coordinate with third party and internal auditors as required. * Other duties and projects as ...

Altegra Health

Remote Certified Coder

$23 - $31.50/hr

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and ... CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are ...

Altegra Health

Remote Certified Coder

$23 - $31.50/hr

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and ... CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are ...

Altegra Health

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/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 ...

TEKsystems

HCC Coder - Fully Remote

Jacksonville, FL · Remote

$32 - $37/hr

... auditing Risk Adjustment records 1+ years working in a Production environment CRC (Certified Risk Coder) in good standing Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial ...

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

Atlantic City, NJ · On-site +1

$22.50 - $31/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 ...

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Remote Risk Adjustment Auditor information

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$117.5K

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

As of Aug 11, 2026, the average yearly pay for remote risk adjustment auditor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

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 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 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.

More about Remote Risk Adjustment Auditor jobs
What cities are hiring for Remote Risk Adjustment Auditor jobs? Cities with the most Remote Risk Adjustment Auditor job openings:
What are the most commonly searched types of Risk Adjustment Auditor jobs? The most popular types of Risk Adjustment Auditor jobs are:
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What job categories do people searching Remote Risk Adjustment Auditor jobs look for? The top searched job categories for Remote Risk Adjustment Auditor jobs are:
Remote Risk Adjustment Auditor jobs near you
Infographic showing various Remote Risk Adjustment Auditor job openings in the United States as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Risk Adjustment Medical Record Coder-4

BlueCross BlueShield of Tennessee

Chattanooga, TN • On-site, Remote

Full-time

Posted 7 days ago

Job description

We are hiring a Risk Adjustment Medical Record Coder at BCBST!
In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk values. You'll play an important role in ensuring documentation accuracy while contributing to overall quality and compliance within the Risk Adjustment & Quality Division.
You will contribute to team success by working collaboratively in a remote environment, engaging in team chats, and supporting peers as needed. Your proactive mindset and commitment to continuous learning will help you stay current in an evolving healthcare landscape while strengthening overall team capability.
To be successful in this position, you'll bring strong attention to detail, coding expertise, and the ability to work independently. Ideal candidates will have experience in HCC (Hierarchical Condition Category) coding, particularly within Medicare Advantage, ACA programs, and Medicaid programs.
We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work-guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to enhance accuracy, efficiency, and outcomes.
Note:
• This is a remote, day-shift position working standard shift hours; 8am-5pm ET
• Candidates should be comfortable working independently while maintaining strong engagement with the team
Job Responsibilities
  • Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
  • Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
  • Assist with the intake and quality assurance of medical records as necessary.
  • Perform or participate in special projects as directed by management.
  • ICD-10 Coding assessment is required.

Job Qualifications
Education
  • Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.

Experience
  • 1 year - Progressive medical coding and health care experience required.

Skills/Certifications
  • Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).
  • Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
  • Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
  • Must be a team player, be organized and have the ability to handle multiple projects.
  • Excellent oral and written communication skills.
  • Strong interpersonal and organizational skills.
  • Understanding of ICD-10 coding standards required.

Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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