Full Time risk adjustment coding auditor jobs

Full Time

Risk Adjustment Auditor & Physician Educator - Remote

Valley Medical Center Remote

Risk Adjustment Auditor and Physician Educator Health Information Management | Full-Time | Renton, Washington Help Improve Clinical Documentation and Support Better Patient Care Valley Medical Center is seeking an experienced Risk Adjustment Auditor and Physician Educator to join our Health Information Management team. This role combines clinical documentation expertise, risk adjustment auditing, coding knowledge, data analysis, and physician education to help ensure the accurate and complete capture of patient conditions and the clinical complexity of the care we provide. The ideal candidate brings strong experience in Medicare risk adjustment, medical record auditing, ICD-10-CM coding, and physician education , along with the ability to translate complex coding and documentation requirements into practical guidance for providers. This is an opportunity to play a meaningful role in improving documentation quality, supporting value-based care initiatives, and...

LM

Full Time

MRA Auditor and Educator (Onsite in West Palm Beach, FL)

LA Medical Associates LLC West Palm Beach, FL

Risk Adjustment Coder, Auditor and Educator Location: West Palm Beach, FL (On-site/Local — Multi-Site Primary Care Medical Group) Job Type: Full-Time Department: Coding & Risk Adjustment / Clinical Quality About the Role Our multi-site primary care medical group is seeking an experienced MRA Coder and Educator to lead risk adjustment coding education and training across our West Palm Beach–area clinics. This role is central to ensuring accurate, complete, and compliant HCC/risk adjustment documentation and coding practices among our primary care providers and clinical staff. The ideal candidate is both a coding subject matter expert and a skilled communicator and presenter — someone who can translate complex risk adjustment concepts into clear, actionable training that resonates with busy physicians and site-level management, while building strong, trust-based relationships across the organization. Key Responsibilities...

MG

Full Time

Certified Coding Auditor - Outpatient

Marwood Group Hybrid (New York, NY)

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payors....

VP

Full Time

Director of Documentation Integrity and Coding

Vistec Partners NY

The goal is this position is to educate providers on proper use of CPT codes, ICD10 codes, modifiers and audit activities related to health plan operations, risk adjustment, payer audits and regulatory requirements. This role ensures accurate medical coding, documentation integrity, and adherence to federal, state, and payer-specific guidelines. The ideal candidate will possess advanced CPC coding expertise, strong analytical skills, and extensive experience supporting compliance initiatives within a managed care or health plan environment. This is a full-time position, on site, 5 days a week. Responsibilities: • Serve as subject matter expert on CPT, HCPCS, ICD10 and modifier coding for physicians and coders. • Ensure provider documentation and coding practices comply with CMS, Medicare, Medicaid, commercial payer, and applicable federal and state regulatory requirements. • Conduct coding compliance audits to identify...

Full Time

Risk Adjustment Coder & Provider Engagement Specialist

ASAAR Medical Boca Raton, FL

ASAAR Medical is seeking a HCC Coder & Provider Engagement Specialist ***This is NOT a REMOTE Position *** May require travel *** Duties: Reporting to the Director of MRA and Risk Adjustment Coding. The HCC / MRA Coder will offer real-time support and coordination for Primary Care Providers and Care Coordinators for MRA Risk Coding in a value-based care setting. Engages providers by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts ASAAR Medical's overall success first. Review patient charts and pursues excellence: Seeks out learning, strives to develop and expand personally, and continuously helps practices upgrade their capability to contribute to the ACO. Helps to educate clinician and non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures. Assists in education and transition with onboarding new providers, optimally within...

5 risk adjustment coding auditor jobs found