102 risk adjustment coding auditor educator jobs found

Posting Date 01/19/2026 2000 16th St, Denver, Colorado, 80202-5117, United States of America DaVita IKC is seeking a highly motivated and experienced Risk Adjustment Auditor and Educator to join our Coding team. This role is crucial for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical documentation related to professional services provided by both internal and external nephrology partners. The ideal candidate will serve as a subject matter expert, performing detailed medical chart audits and providing targeted education to providers and coding teams to support our commitment to high-quality patient care and adherence to all formal regulatory and coding guidelines. Essential Duties and Responsibilities Auditing & Analysis Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk...

Posting Date 01/19/2026 2000 16th St, Denver, Colorado, 80202-5117, United States of America DaVita IKC is seeking a highly motivated and experienced Risk Adjustment Auditor and Educator to join our Coding team. This role is crucial for ensuring the accuracy, integrity, and compliance of our risk adjustment coding and clinical documentation related to professional services provided by both internal and external nephrology partners. The ideal candidate will serve as a subject matter expert, performing detailed medical chart audits and providing targeted education to providers and coding teams to support our commitment to high-quality patient care and adherence to all formal regulatory and coding guidelines. Essential Duties and Responsibilities Auditing & Analysis Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk...

* Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk Adjustment (HCC coding).* Perform detailed internal and external coding audits on a regular basis as defined by compliance & department requirements, including for our nephrology partners.* Execute targeted audit plans, including performing targeted audits of identified HCC outliers.* Identify trends, patterns, and areas of opportunity for documentation and coding improvement through data analysis and audit findings.* Prepare and present formalized audit reports to leadership, summarizing findings, identifying risk areas, and recommending corrective action plans.* Assist in internal and external audits, including Risk Adjustment Data Validation (RADV) audits, by preparing documentation and responding to inquiries.* Perform necessary research to provide supportive regulatory and coding...

A leading kidney care provider in Seattle seeks a professional to conduct medical record audits ensuring the accuracy of ICD-10-CM codes. The role involves analyzing data, preparing audit reports, and delivering educational training to providers and coders. Candidates must have at least 3 years of coding experience and expertise in CMS regulations. This position is dedicated to improving care for patients with chronic kidney failure, offering a comprehensive benefits package and a supportive work culture. #J-18808-Ljbffr

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 4:30 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description The Physician Coding Educator provides education in coding and billing compliance to physicians, physician assistants, nurse practitioners, and clinical service auxiliary providers to improve the workflow and promote overall clinical...

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network. Education, Knowledge, Skills and Abilities Required: High School diploma, general equivalency diploma (GED), and/or GED...

Salary Range $21.47 - $34.31 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $500 in Bonuses! $250 Sign On Bonus and $250 Retention...

Hcc Coder PedIM Healthcare is seeking an experienced HCC Coder to join our growing value-based care team. This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance with CMS guidelines while supporting high-quality patient outcomes. The HCC Coder will be responsible for reviewing medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. What We Offer Competitive compensation based on experience discussed during interview In-house or remote flexibility Team-oriented, value-driven environment Opportunity to directly impact patient outcomes and organizational performance Long-term growth within a value-based care organization Key Responsibilities Conduct pre-visit and chart reviews to identify known and suspected RAF/HCC conditions prior to patient appointments Conduct post-visit chart reviews...

Position Highlights Job Type: Compliance and Revenue Cycle Auditor (RAC Auditor) Location: Community Hospital Schedule: Full-Time Application Deadline: January 31, 2026 Responsibilities Bachelor’s Degree in health care or related field (Bachelor’s Degree in Nursing preferred) (1) year of related experience and/or training OR equivalent combination of education and experience. CHA, CCP, CCEP, CCS or CPC preferred. Understanding of the regulatory and accreditation environment related to hospitals and health care systems. Understanding reimbursement environment/requirements in acute and ambulatory care settings. Excellent computer skills, 10 key by touch, filing and typing proficiency. Familiarity with CPT-10 and ICD-10 coding. Internal Auditor manages compliance audit and monitoring activities pertaining to compliance and privacy. Collaborates with Chief Compliance and Privacy Officer on all internal and external audits and reviews, which are initiated by government...

HealthCare Support is seeking a Risk Adjustment Coder - Hybrid to join a mission-driven healthcare organization in Monterey Park, CA . This full-time, salaried role offers the flexibility of hybrid work combined with in-market provider engagement. Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST Compensation: $75K - $85K (negotiable based on experience) What Makes This Role Stand Out Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits For The Risk Adjustment Coder - Hybrid Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities For The Risk Adjustment Coder - Hybrid Review and audit medical records for accurate ICD-10 and HCC risk...

HealthCare Support is seeking a Risk Adjustment Coder - Hybrid to join a mission-driven healthcare organization in Monterey Park, CA . This full-time, salaried role offers the flexibility of hybrid work combined with in-market provider engagement. Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST Compensation: $75K - $85K (negotiable based on experience) What Makes This Role Stand Out Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits For The Risk Adjustment Coder - Hybrid Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities For The Risk Adjustment Coder - Hybrid Review and audit medical records for accurate ICD-10 and HCC risk...

HealthCare Support is seeking a Risk Adjustment Coder - Hybrid to join a mission-driven healthcare organization in Monterey Park, CA . This full-time, salaried role offers the flexibility of hybrid work combined with in-market provider engagement. Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST Compensation: $75K - $85K (negotiable based on experience) What Makes This Role Stand Out Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits For The Risk Adjustment Coder - Hybrid Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities For The Risk Adjustment Coder - Hybrid Review and audit medical records for accurate ICD-10 and HCC risk...

HealthCare Support is seeking a Risk Adjustment Coder - Hybrid to join a mission-driven healthcare organization in Monterey Park, CA . This full-time, salaried role offers the flexibility of hybrid work combined with in-market provider engagement. Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST Compensation: $75K - $85K (negotiable based on experience) What Makes This Role Stand Out Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits For The Risk Adjustment Coder - Hybrid Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities For The Risk Adjustment Coder - Hybrid Review and audit medical records for accurate ICD-10 and HCC risk...

Outpatient Risk Adjustment Coder IHCI Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered and we couldn't do it without you. The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes. Reporting to the Clinical Documentation Integrity...

HealthCare Support is seeking a Risk Adjustment Coder - Hybrid to join a mission-driven healthcare organization in Monterey Park, CA . This full-time, salaried role offers the flexibility of hybrid work combined with in-market provider engagement. Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST Compensation: $75K - $85K (negotiable based on experience) What Makes This Role Stand Out Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits For The Risk Adjustment Coder - Hybrid Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities For The Risk Adjustment Coder - Hybrid Review and audit medical records for accurate ICD-10 and HCC risk...

HealthCare Support is seeking a Risk Adjustment Coder - Hybrid to join a mission-driven healthcare organization in Monterey Park, CA . This full-time, salaried role offers the flexibility of hybrid work combined with in-market provider engagement. Schedule: Monday – Friday, 8:00 AM – 5:00 PM PST Compensation: $75K - $85K (negotiable based on experience) What Makes This Role Stand Out Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits For The Risk Adjustment Coder - Hybrid Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities For The Risk Adjustment Coder - Hybrid Review and audit medical records for accurate ICD-10 and HCC risk...

Title: Certified Risk Coder Reports to: Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) Job description revision number and date: 2.0, 01.06.2025 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners. Job Summary: The Certified Risk Coder will be a part of an emerging coding team and coding service that...

Title: Coding Auditor, Facility Work Type: Full-Time Location: Clackamas, OR R emote Job After Completing Satisfactory Training At The Job Site MUST-HAVES : Basic Qualifications: Experience Minimum two (2) years experience in a directly related coding field Education A High School Diploma or General Education Development (GED) is required. License, Certification, Registration The candidate must have 1 from the following list: Registered Health Information Technician Certificate Certified Coding Specialist Registered Health Information Administrator Certificate Additional Requirements: Previous experience with EMR patient documentation systems with intermediate knowledge and skill in the use of a computer. Advanced knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, and health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny...

JOB DESCRIPTION To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and Kaiser Permanente organization/institutional coding...

Title - Inpatient Facility Medical Coder (40h Day) Location - Clackamas, OR, US Job Type - Permanent | Remote Required: Minimum five (5) years experience in coding with four (4) years inpatient facility coding The candidate must have 1 from the following list: Registered Health Information Technician Certificate Certified Coding Specialist Registered Health Information Administrator Certificate Advanced knowledge of medical terminology, pharmacology and medial coding principles for ICD-10-CM, ICD-10-PCS, HCPCS/CPT and coding. Advance knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues. Job description Candidates must reside either in Washintgon or Oregon to be considered for this position. To independently and efficiently...

Overview Remote Risk Adjustment Coder HealthCare Support is seeking a Remote Risk Adjustment Coder to join a mission-driven healthcare organization supporting the Connecticut market. This full-time, salaried role offers the flexibility of remote work combined with occasional in-market provider engagement. Location Connecticut or neighboring states: New York, Rhode Island, Massachusetts Schedule Monday – Friday, 8:00 AM – 5:00 PM EST Compensation $80K - $95K What Makes This Role Stand Out Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities Review and audit medical records...

*Description* The HCC Auditor/Coder's primary objective is to continually improve providers' reporting and documentation of chronic health care conditions. This is done through auditing providers' patient medical records and providing education on best coding practices. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and procedure codes. Interface effectively with physicians and office staff on coding issues. Research coding questions as needed. Code review a wide variety of document types, i.e., Primary and specialty care medical records, mental health, substance abuse, in-patient, out-patient, non-submittals (lab), ancillary and pharmaceutical services for HCC values. Perform both provider office audits and on-line audits via reviewing patient medical records. Provide education to...

We are looking for experienced HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities include the following: Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use of diagnosis and...