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Senior Risk Adjustment Auditor Jobs in Texas (NOW HIRING)

Auditor/Sr. Auditor

Garland, TX · On-site

$78K - $96K/yr

## Auditor/Sr. AuditorApplylocations: Internal Auditposted on: Posted Yesterdayjob requisition id ... Conduct risk assessments and develop audit programs.* Evaluate the effectiveness of City's system ...

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 ...

The Client Coding Project Manager will provide superior quality by performing audits pertaining to risk adjustment coding efforts. They will be responsible for daily operations pertaining to auditing ...

Senior Internal Auditor

Houston, TX · On-site

$80K - $100K/yr

The Senior Internal Auditor is responsible for leading operational audits, advisory engagements ... Success in this role is measured by the ability to deliver actionable insights, reduce risk ...

New

Senior Internal Auditor

Houston, TX · On-site

$80K - $100K/yr

The Senior Internal Auditor is responsible for leading operational audits, advisory engagements ... Success in this role is measured by the ability to deliver actionable insights, reduce risk ...

New

Senior Internal Auditor

Waller, TX

$76K - $95K/yr

The Senior Internal Auditor is responsible for coordinating and executing financial, operational ... Conduct risk assessments and develop audit programs tailored to identified business risks

Senior Internal Auditor

Waller, TX · On-site

$76K - $95K/yr

The Senior Internal Auditor is responsible for coordinating and executing financial, operational ... Conduct risk assessments and develop audit programs tailored to identified business risks

Senior Internal Auditor

Waller, TX · On-site

$76K - $95K/yr

The Senior Internal Auditor is responsible for coordinating and executing financial, operational ... Conduct risk assessments and develop audit programs tailored to identified business risks

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of ...

Showing results 21-40

Senior Risk Adjustment Auditor information

What is a senior risk adjustment auditor?

Senior Risk Adjustment Auditors are experienced professionals who review medical records and data to ensure accurate coding and documentation for risk adjustment purposes, primarily in healthcare settings. They help organizations comply with government regulations and maximize appropriate reimbursement by identifying and correcting coding errors or gaps. Their role involves analyzing patient data, collaborating with coding teams, and providing feedback or training to improve documentation practices. Senior auditors often have advanced knowledge of ICD-10-CM coding, risk adjustment models (such as HCC), and auditing standards. Their expertise helps healthcare organizations maintain compliance and optimize financial performance.

What are the key skills and qualifications needed to thrive as a senior risk adjustment auditor?

To thrive as a Senior Risk Adjustment Auditor, you need deep expertise in medical coding (ICD-10-CM), risk adjustment methodologies, and a background in healthcare compliance, typically supported by certifications such as CRC, CPC, or CCS-P. Familiarity with auditing platforms, data analysis tools, and electronic medical records systems is crucial. Exceptional attention to detail, analytical thinking, and strong communication skills help auditors identify discrepancies and effectively collaborate with providers. These competencies ensure accurate risk scoring, regulatory compliance, and optimal reimbursement for healthcare organizations.

How does a senior risk adjustment auditor typically collaborate with coding teams and healthcare providers to ensure accurate documentation and coding?

A Senior Risk Adjustment Auditor often works closely with medical coding teams and healthcare providers to review patient records for accuracy and compliance with risk adjustment guidelines. This collaboration may involve providing feedback on documentation quality, clarifying coding ambiguities, and offering training or guidance on best practices. Regular meetings and audits help ensure that everyone is aligned with current regulations and organizational standards. Effective communication and teamwork are essential to maintain high-quality, compliant coding that supports proper reimbursement and patient care.

What is the difference between Senior Risk Adjustment Auditor vs Risk Adjustment Auditor?

AspectSenior Risk Adjustment AuditorRisk Adjustment Auditor
CertificationsCPMA, RAC, or similarCPMA, RAC, or similar
Work EnvironmentHealthcare organizations, insurance companies, consulting firmsHealthcare providers, insurance companies, auditing firms
Job ResponsibilitiesLeading audits, mentoring, complex data analysisPerforming audits, data review, compliance checks

Both roles require similar certifications and work in healthcare or insurance settings. The Senior Risk Adjustment Auditor typically handles more complex audits, provides mentorship, and takes on leadership tasks, whereas the Risk Adjustment Auditor focuses on executing audits and data analysis. The senior role involves greater responsibility and expertise, often leading to career advancement in risk adjustment auditing.

What are the most commonly searched types of Risk Adjustment Auditor jobs in Texas?

The most popular types of Risk Adjustment Auditor jobs in Texas are:

What are popular job titles related to Senior Risk Adjustment Auditor jobs in Texas?

For Senior Risk Adjustment Auditor jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Senior Risk Adjustment Auditor jobs in Texas look for?

The top searched job categories for Senior Risk Adjustment Auditor jobs in Texas are:

What cities in Texas are hiring for Senior Risk Adjustment Auditor jobs?

Cities in Texas with the most Senior Risk Adjustment Auditor job openings:

Infographic showing various Senior Risk Adjustment Auditor job openings in Texas as of August 2026, with employment types broken down into 100% Full Time. Highlights an 69% In-person, 8% Hybrid, and 23% Remote job distribution.

Auditor/Sr. Auditor

Garlandtx

Garland, TX • On-site

$78K - $96K/yr

Other

Posted 15 days ago


Job description

## Auditor/Sr. AuditorApplylocations: Internal Auditposted on: Posted Yesterdayjob requisition id: JR103056**The successful candidate will be hired as an Auditor or Senior Auditor, depending on the selected candidate’s qualifications and experience.**# **Auditor Job Description****Summary**Responsible for auditing government program effectiveness, efficiency and compliance by analyzing data, interviewing officials, and reviewing operations to identify weaknesses and recommend improvements.**Essential Duties and Responsibilities upon assignment** *(as assigned) and may include the following. Other duties may be assigned*.* Conduct audits in accordance with Generally Accepted Government Auditing Standards.* Verify City's compliance with federal, state and local rules and regulations, as well as internal policies and guidelines.* Conduct risk assessments and develop audit programs.* Evaluate the effectiveness of City's system of internal controls and efficiency of operations.* Review cost control procedures used for operating expenditures.* Review the system of management controls in place to ensure that vendors and customers are in compliance with contracts.* Perform data analysis.* Provide report of findings and recommendations for corrective measures in areas needing improvement.**Minimum Qualifications*** Four-year college degree in Business, Accounting, Finance or Information Systems* 2 years of related experienceOr an equivalent combination of education and experience sufficient to successfully perform the essential functions of the job.**Preferred Qualifications**Education/ Experience: * Four-year college degree in Business, Accounting, Finance or Information Systems* Two years of experience in auditing* CFE, CISA or relevant audit certification or the ability to obtain within three years of hire.**Knowledge, Skills & Abilities*** Knowledge of Generally Accepted Government Auditing Standards (GAGAS)* Intermediate skill in Microsoft Office applications (Excel, Word, Access, PowerPoint)* Ability to maintain objectivity and independence (Independence of Mind and Appearance) at all times* Ability to analyze various financial and procedural information and documentation* Ability to complete projects within required timeline* Ability to learn and use data analysis tools* Ability to establish and maintain effective working relationships with those contacted in the course of work**Licenses and Certifications*** Valid Class C Texas driver's license* Ability to obtain an audit certification within 3 years of hire**Physical Requirements / Work Environment**The incumbent works in a typical office environment; occasional exposure to unpleasant environmental conditions and/ or hazards. Occasional outside work performed.# **Sr. Auditor Job Description****Summary**Responsible for planning and conducting complex operational, compliance and financial audits, to assess accuracy, efficiency, effectiveness and compliance with laws and standards. Key duties involve project management, data analysis, fieldwork, risk assessment, writing audit reports and communicating results to diverse audiences.**Essential Duties and Responsibilities** (as assigned) and may *include the following. Other duties may be assigned*.* Lead and conduct complex audits in accordance with Generally Accepted Government Auditing Standards.* Verify City's compliance with federal, state and local rules and regulations, as well as internal policies and guidelines.* Conduct risk assessments and develop audit programs.* Evaluate the effectiveness of City's system of internal controls and efficiency of operations.* Review cost control procedures used for operating expenditures.* Review the system of management controls in place to ensure that vendors and customers are in compliance with contracts.* Perform comprehensive data analysis.* Provide report of findings and recommendations for corrective measures in areas needing improvement.* Draft clear, concise, objective and actionable audit reports.* Assist with training lower-level auditors in appropriate business procedures and internal controls. Promote cohesion among team members.* Review work papers to ensure adequacy, relevance, reliability, and completeness to address audit objectives and support conclusions.* Investigate fraud, waste and/or abuse (FWA) allegations reported directly or via the anonymous hotline.**Minimum Qualifications*** Four-year college degree in Business, Accounting, Finance or Information Systems* 5 years related experience* Or an equivalent combination of education and experience sufficient to successfully perform the essential functions of the job.**Preferred Qualifications**Education/ Experience: * Master’s degree in Business, Accounting, Finance or Information Systems* 5 years in auditing with at least 3 years of governmental auditing experience.* CIA, CPA or CISA certification or the ability to obtain within three years of hire**Knowledge, Skills & Abilities*** Comprehensive knowledge of Generally Accepted Government Auditing Standards (GAGAS)* Advanced skill in Microsoft Office applications (Excel, Word, Access and PowerPoint)* Willingness to go the extra mile to achieve departmental goals and objectives* Ability to plan and organize workload in order to meet established deadlines* Ability to understand strengths and weaknesses of team members and promote team spirit* Ability to learn and use data analysis tools* Ability to analyze various financial and procedural information and documentation* Ability to establish and maintain effective working relationships with those contacted in the course of work**Licenses and Certifications*** CIA, CPA or CISA Certification or the ability to obtain within three years of hire* Valid Class C Texas driver's license**Physical Requirements / Work Environment**The incumbent works in a typical office environment; relatively free from unpleasant environmental conditions or hazards. Occasional outside work performed. #J-18808-Ljbffr