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Senior Risk Adjustment Auditor Jobs in Texas (NOW HIRING)

Senior Cyber Risk Assurance Analyst

Plano, TX · On-site

  • Medical

  • Retirement

  • PTO

... I-140 or Adjustment of Status portability), etc. now or in the future. You should not apply for ... Auditor (CISA) certifications. * Progressive work experience in a similar field and / or industry.

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 ...

Business Development Executive (MedInsight)

Dallas, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... senior decision-makers, including CFOs, CIOs, COOs, CMOs, Chief Population Health Officers, and VP-level risk adjustment and compliance leaders. * Skilled at partnering with Sales Engineering and ...

Sr. Auditor

Dallas, TX · On-site

$77K - $96K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Conduct risk assessments to identify high-risk areas and develop audit approaches aligned with ... That's why we regularly review the market value of jobs and make adjustments, as needed.

Remote Certified Coder

Dallas, TX · On-site +1

$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 ...

Sr. Auditor

Dallas, TX · Hybrid

$77K - $96K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Conduct risk assessments to identify high-risk areas and develop audit approaches aligned with ... That's why we regularly review the market value of jobs and make adjustments, as needed.

Sr. Auditor

Dallas, TX · Hybrid

$83K - $103K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Conduct risk assessments to identify high-risk areas and develop audit approaches aligned with ... That's why we regularly review the market value of jobs and make adjustments, as needed.

Staff Auditor - Senior Auditor

Houston, TX

$80K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Staff - Senior Auditor is responsible for performing risk assessments, performing test of transactions, data analysis, assessing internal controls and business processes, preparing audit work ...

Staff Auditor - Senior Auditor

Houston, TX

$80K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Staff - Senior Auditor is responsible for performing risk assessments, performing test of transactions, data analysis, assessing internal controls and business processes, preparing audit work ...

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.

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 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.

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.

Principal Auditor - Risk Management

Capital One

Plano, TX • On-site

Full-time

Posted 25 days ago


Capital One rating

7.7

Company rating: 7.7 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

91st of 171 rated banks


Job description

Principal Auditor - Risk Management

Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance services to the organization's Audit Committee. Audit professionals are experienced, well-trained and credentialed, and operate within a collaborative, agile environment to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology, and to be a top-notch talent destination, creates a dynamic and challenging atmosphere for both personal growth and professional opportunity.

Capital One is seeking an energetic, self-motivated Principal Auditor (Experienced Senior Auditor) interested in becoming part of our Audit team. As a member of the Audit team, the candidate will focus on audits of Second Line Risk Management (Enterprise Risk Management, Operational Risk Management, Third Party Risk Management, Business Continuity, Payment Risk, Network Conflict Risk) and the First Line Risk Offices. The role will also provide Subject Matter Expertise and advisory to other audit teams regarding risk management.

Responsibilities:

  • Lead small audits, or own completion of significant components of larger audits.

  • Develop engagement planning documentation for assigned areas to communicate rationale for scoping decisions, and develop audit programs to ensure adequate coverage of risks.

  • Design and execute appropriate audit procedures to verify the effectiveness of internal controls and/or the appropriateness of enterprise frameworks and requirements. Document audit processes and procedures, review and analyze evidence, and identify potential issues.

  • Prepare clear, organized, and complete documentation to support work performed and conclusions reached. Independently gather facts to support issues and concerns, escalate to necessary groups, and help draft audit findings.

  • Establish and maintain good client and team relations during engagements. Effectively communicate information and audit progress to team, clients and auditor-in-charge.

  • Self prioritize and effectively plan your own work activities managing multiple priorities and tasks across the team to deliver quality results which may include issue validations, regulatory exam support, and/or other team initiatives. Proactively take on additional work to support the team when possible.

  • Provide coaching, on-the-job training, and feedback to audit staff, including junior associates and recent hires.

Here's what we're looking for in an ideal teammate:

  • You are a critical thinker who seeks to understand the business and its control environment.

  • You are able to navigate ambiguity, applying risk management principles to real life situations.

  • You believe insight and objectivity are core elements to providing assurance on the effectiveness and efficiency of Capital One's governance, risk management, and internal control processes.

  • You possess a relentless focus on quality and timeliness.

  • You adapt to change, embrace bold ideas, and are intellectually curious. You like to ask questions, test assumptions, and challenge conventional thinking.

  • You develop influential relationships based upon shared risk objectives and trust to deliver outstanding business impact and elevate Audit's value proposition.

  • You're a firm believer that a rich understanding of data, innovation, and technology will only make you a better auditor. This will require leveraging the power of data analytics and furthering your technical expertise.

  • You're a teacher. You do the right thing and lead by example. You have a passion for coaching and investing in the betterment of your team. You lead through change with candor and optimism.

  • You create energy and an environment that fosters trust, collaboration, and belonging, making it easy to attract, hire, and retain top talent.

Basic Qualifications:

  • Bachelor's Degree or military experience

  • At least 4 years of experience in auditing, in accounting, in financial analysis, in compliance, or a combination.

  • At least 1 year of Enterprise Risk Management experience or Operational Risk Management Experience

Preferred Qualifications:

  • 1+ year of experience in leading audits and performing in the role of auditor-in-charge

  • 2+ years of experience in banking or in financial services

  • 4+ years experience in internal audit or risk management (can be combined with Big Four external Audit experience)

  • 1+ years of experience in performing data analysis in support of internal auditing

  • Master's Degree in Accounting, Master's Degree in Finance or Master of Business Administration

  • Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or relevant certification

At this time, Capital One will not sponsor a new applicant for employment authorization for this position.


This role is hybrid meaning associates typically spend 3 days per week in-person at one of our offices listed on this job posting.

The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.

Charlotte, NC: $109,900 - $125,400 for Principal Auditor


Chicago, IL: $109,900 - $125,400 for Principal Auditor


McLean, VA: $120,800 - $137,900 for Principal Auditor


New York, NY: $131,800 - $150,500 for Principal Auditor


Plano, TX: $109,900 - $125,400 for Principal Auditor


Richmond, VA: $109,900 - $125,400 for Principal Auditor


Riverwoods, IL: $109,900 - $125,400 for Principal Auditor





Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate's offer letter.

This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.

Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at theCapital One Careers website. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.

This role is expected to accept applications for a minimum of 5 business days.No agencies please. Capital One is an equal opportunity employer (EOE, including disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance Act; Philadelphia's Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.

If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at RecruitingAccommodation@capitalone.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.

For technical support or questions about Capital One's recruiting process, please send an email to Careers@capitalone.com

Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.

Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).


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