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Work From Home Risk Adjustment Auditor Jobs in Texas

Datavant

Auditor, HCC Risk Adjustment Coding

Dallas, TX · Remote

$29 - $32/hr

... for risk adjustment and reimbursement purposes. You will play a critical role in translating ... Datavant is committed to a work environment free from job discrimination. We are proud to be an ...

The Jernigan Agency

WORK FROM HOME

Corpus Christi, TX · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

AO Globe Life

Remote Work From Home Representative

Dallas, TX · On-site +1

$15.75 - $21.50/hr

Remote Work From Home Representative 100% Remote | Entry-Level Friendly | Full Training Provided | Flexible Schedule Looking for a remote opportunity where you can learn, grow, and build a long-term ...

Symmetry

Remote Sales Work From Home

The Woodlands, TX · On-site +1

$60K - $200K/yr

Remote Sales Work From Home Organization Description: There has never been a better time to have total control of your schedule with the ability to meet with clients remotely, over the phone, or in ...

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Work From Home Risk Adjustment Auditor information

See Texas salary details

$28.4K

$67.7K

$109.5K

How much do work from home risk adjustment auditor jobs pay per year?

As of Sep 4, 2026, the average yearly pay for work from home risk adjustment auditor in Texas is $67,669.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,800.00 and $91,800.00 per year, depending on experience, location, and employer.

What is a work from home risk adjustment auditor?

A Work From Home Risk Adjustment Auditor is responsible for reviewing medical records to ensure accurate coding and documentation for risk adjustment purposes. They assess diagnoses, procedures, and services to verify that they align with coding guidelines and regulatory requirements. This role helps healthcare organizations optimize reimbursement and maintain compliance with coding standards. Working remotely, auditors use electronic health records and coding software to perform their duties efficiently. Strong attention to detail, coding certification (such as CRC, CPC, or CCS), and knowledge of risk adjustment models are essential for success in this role.

What are the typical daily responsibilities of a work from home risk adjustment auditor?

As a Work From Home Risk Adjustment Auditor, your typical day involves reviewing medical records to identify and validate diagnosis codes, ensuring compliance with Medicare, Medicaid, or commercial risk adjustment guidelines. You will often manage a queue of charts, utilize specialized auditing software, and document your findings clearly for reporting purposes. Communication with team members or supervisors is usually conducted via phone, email, or secure messaging platforms. This role may also require you to participate in quality assurance reviews, training sessions, and periodic team meetings to stay updated on coding standards and audit protocols.

What are the key skills and qualifications needed to thrive in the work from home risk adjustment auditor position?

To thrive as a Work From Home Risk Adjustment Auditor, you need a strong understanding of medical coding (especially ICD-10-CM), healthcare compliance, and medical record review, often supported by credentials such as CPC or CRC certification. Familiarity with electronic medical records (EMR) systems, health plan software, and auditing platforms is essential. Excellent attention to detail, organizational skills, and the ability to work independently make candidates stand out in this remote position. These skills ensure accurate risk adjustment data, regulatory compliance, and reliable performance while collaborating virtually with healthcare teams.

What are popular job titles related to Work From Home Risk Adjustment Auditor jobs in Texas?

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

What job categories do people searching Work From Home Risk Adjustment Auditor jobs in Texas look for?

The top searched job categories for Work From Home Risk Adjustment Auditor jobs in Texas are:

What cities in Texas are hiring for Work From Home Risk Adjustment Auditor jobs?

Cities in Texas with the most Work From Home Risk Adjustment Auditor job openings:

Work From Home Risk Adjustment Auditor jobs near you
Infographic showing various Work From Home Risk Adjustment Auditor job openings in Texas as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $67,669 per year, or $32.5 per hour.

Auditor, Risk Adjustment Data Validation

University Health

San Antonio, TX • Remote

Full-time

Re-posted 21 days ago

University Health System (San Antonio) rating

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

90th of 898 rated healthcare providers

Job description

POSITION SUMMARY/RESPONSIBILITIES

The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed audits, analyzing data, and collaborating with providers and internal teams to support Hierarchical Condition Categories (HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized reports based on data analysis and provides actionable recommendations to enhance operational and clinical performance. Additionally, the position assists in managing data collection processes and develops procedures for monitoring, validating, and reconciling data for accuracy. Working closely with cross-functional teams, the auditor supports compliance, quality assurance, and risk mitigation strategies while contributing to the development of tools and processes to improve coding accuracy and audit efficiency.

EDUCATION/EXPERIENCE

Bachelor’s degree required. Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a willingness to obtain certification within 6–12 months of hire. Applicants should have 1–2 years of healthcare experience; prior coding experience is preferred. Strong analytical and problem-solving skills, coupled with attention to detail, are essential. Candidates must possess the ability to learn and apply ICD-10-CM coding principles, exhibit excellent communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.

LICENSURE/CERTIFICATION

Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Risk Adjustment Coder-CRC)

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