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Trainee Risk Adjustment Auditor Jobs in New York

Hybrid Coding Educator

New York, NY · On-site

$29.75 - $34/hr

Responsible for auditing clinical documentation encounters to validate Risk Adjustment and HCCs Responsible for managing and responding to provider inquiries via the coding hotline as well. * Trains ...

... auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct ... This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data ...

... and posts adjustments and/or reserves • Understands and reports P&L and MTM attributes and ... external auditors • Other duties as assigned Requirements: • Bachelor's degree in Finance ...

... and posts adjustments and/or reserves · Understands and reports P&L and MTM attributes and ... external auditors · Other duties as assigned Requirements: · Bachelor's degree in Finance ...

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Trainee Risk Adjustment Auditor information

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

AspectTrainee Risk Adjustment AuditorRisk Adjustment Auditor
CertificationsEntry-level, often requires basic healthcare or auditing certificationsAdvanced certifications like RHIA or RAC are common
Work EnvironmentTraining phase, supervised, learning on the jobFull responsibility, independent audits, detailed analysis
Experience LevelLimited, focused on training and skill developmentExperienced, with proven auditing skills

The Trainee Risk Adjustment Auditor is an entry-level role focused on learning and supporting risk adjustment processes, while the Risk Adjustment Auditor is a fully responsible professional conducting independent audits. The trainee position emphasizes training and supervision, whereas the auditor role requires experience and certification for independent work.

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

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

What job categories do people searching Trainee Risk Adjustment Auditor jobs in New York look for?

The top searched job categories for Trainee Risk Adjustment Auditor jobs in New York are:

What cities in New York are hiring for Trainee Risk Adjustment Auditor jobs?

Cities in New York with the most Trainee Risk Adjustment Auditor job openings:

Infographic showing various Trainee Risk Adjustment Auditor job openings in New York as of June 2026, with employment types broken down into 4% As Needed, and 96% Full Time. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Medical Record Auditor

Healthcare Support Staffing

New York, NY • On-site

Full-time

Medical, Dental, Vision

Re-posted 26 days ago


Job description

Company Description

With a 16-year tradition of excellence. A single source provider of world-class technology products and services for the healthcare industry. We are at the forefront of delivering cutting-edge, scalable technologies and solutions that respond to and anticipate the market's needs while providing sustainable value to our customers. Healthcare is our only business, giving us an unparalleled understanding of the volatile healthcare landscape. We take great pride in maintaining the highest levels of client satisfaction for the hundreds of U.S. hospitals and healthcare providers we serve. Our innovative products and services empower our customers to do what they do best - deliver outstanding patient care.


Job Description

Associate would be in charge of conducting Medical Records reviews to identify
HCCs (short-term insurance) that still haven't been submitted to CMS
(tools provided by the department). Collect the medical records that
support those findings upload in to our tool and code it.



Evaluates
and audits physician and hospital medical records and medical assessment
forms to ensure compliance with CMS guidelines and medical
documentation requirements. Responsible for serving as final auditing
arbiter regarding the Sr. Risk & Recovery's Retrospective Risk
Adjustment (RA) Coding Team and responsible for the identification of
training opportunities for our internal and external stakeholders
related to CMS guidelines, HCC best practices and medical record
documentation requirements. 



Essential Functions:




    • Collects and analyzes data to formulate recommendations and solutions based on audit trends and results.

  • Provides
    regular feedback to Sr. Risk & Recovery leadership on performance
    improvement opportunities as a result of performance gaps.

  • Acts as a subject matter expert to internal and external stakeholders in the area of CMS requirements and HCC best practices.

  • Participates
    in and represents the department in business leadership groups,
    including external professional groups specializing in coding and
    provider education.

  • Assists the business with research and documentation of workflows and policies and procedures.  

Qualifications
  • Must have Bachelor's Degree in Health Sciences, Health Management, Nursing; or any combination of EDU/experience

  • CPC or
    CPMA (Medical Auditing Certification) from accredited source (American
    Health Information Management Association, American Academy of
    Professional Coders, or Practice Management Institute)

  • At least 5 years of experience relevant to ICD-9 coding or medical record audit experience in a consultative role

  • Experience developing educational materials and delivering trainings related to ICD-9 coding

Additional Information

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm



Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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