Sep 01, 2026

Remote Risk-Adjustment Coding Auditor

Job Description

Sanford Health, the largest rural health system in the United States, seeks a Coding Audit Specialist to conduct quality assurance on risk adjustment data submitted to CMS and DHS. You will audit medical record documentation to verify appropriate diagnostic coding and ensure compliance with CPT/ ICD coding guidelines, CMS policy, and BadgerCare Plus risk adjustment rules. You will develop and monitor a continuous auditing program with leadership to improve accuracy, review provider #J-18808-Ljbffr