177 risk adjustment coding auditor jobs found

A healthcare provider is looking for a Senior Risk Adjustment Coding Auditor to conduct coding audits and educate providers on compliance and coding guidelines. The ideal candidate has at least 5 years of experience in coding, holds a relevant certification, and possesses strong analytical skills. Responsibilities include developing educational materials and ensuring accurate diagnosis coding practices. This remote position offers competitive pay ranging from $81,000 to $99,000, along with comprehensive benefits and bonus potential. #J-18808-Ljbffr

Risk Adjustment Coding Auditor, Sr page is loaded## Risk Adjustment Coding Auditor, Srremote type: Remotelocations: Remote Oregon: Remote Utah: Remote Texas: Remote Idaho: Remote Wisconsintime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR100739Risk Adjustment Coding Auditor, Sr---------------------------------------------------------------The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department.**Estimated Hiring Range:**$81,000.00 - $99,000.00**Bonus Target:**Bonus - SIP Target, 5% AnnualCurrent...

Risk Adjustment Coding Auditor, Sr The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range: $81,000.00 - $99,000.00 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate diagnosis codes are captured in claims and retrospective...

A healthcare organization is seeking a Senior Coding Auditor based in Idaho. This role involves performing thorough coding audits and educating providers on compliance with coding practices. The ideal candidate has at least 5 years of experience as a certified coder and expertise in risk adjustment coding. The position offers competitive compensation ranging from $81,000 to $99,000 with potential bonuses, and a comprehensive benefits package including medical, dental, and retirement plans. #J-18808-Ljbffr

Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...

Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...

Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure The Coding Auditor, Senior performs code audits and is responsible for chart auditing processes as well as contributing to the education of providers and internal stakeholders on coding topics. The position is responsible for keeping up to date on the newest coding guidelines and best practices while promoting compliance with existing American Medical Association (AMA) and Centers for Medicare and Medicaid Services (CMS) guidelines. Specific approaches to job duties vary depending on the department. Estimated Hiring Range $81,000.00 - $99,000.00 Bonus Target Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Perform and lead a variety of coding-related audits for providers and other entities. Review medical records to verify that complete and accurate...

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...

Join Datavant, the leading data collaboration platform in healthcare, dedicated to ensuring the world's health data is secure, accessible, and actionable. Our mission drives us to provide essential data solutions for a variety of healthcare organizations, including providers, health plans, researchers, and life sciences companies. At Datavant, you will be part of a passionate team focused on transforming the future of healthcare through innovative data connectivity. What We Are Looking For: As an HCC (Hierarchical Condition Category) Auditor, you will be pivotal in reviewing medical records that have been coded in a standardized system, ensuring each patient’s conditions are accurately represented for risk adjustment and reimbursement. Your expertise will help translate clinical documentation into precise codes, reflecting the complexity and severity of patients' health statuses while confirming the accuracy of your work. What You'll Be Doing: Audit coded charts...

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...

A leading health organization is seeking a Medical Records Auditor to conduct audits of medical records to ensure compliance with regulations. The ideal candidate should have at least 5 years of experience in medical documentation review and coding, with specific knowledge of Risk Adjustment processes. A Bachelor’s degree is preferred. This role offers a competitive salary between $46,988 and $112,200, along with comprehensive benefits including medical plans and 401(k). #J-18808-Ljbffr

A leading health care company is seeking a detail-oriented Medical Coder Auditor to ensure compliance and quality of medical records. You will conduct thorough audits, educate providers on coding standards, and communicate findings to stakeholders. Ideal candidates will have over 5 years of related experience, relevant certifications (CPC, CCS-P, CRC), and experience with risk adjustment processes. The role offers a competitive salary within the range of $46,988.00 to $112,200.00, along with comprehensive benefits including medical plans and retirement options. #J-18808-Ljbffr

Join Datavant, a pioneering data platform company that is transforming health data exchange. Our mission is to ensure that every healthcare decision is supported by accurate data, available at the right time and in the most beneficial format. As a vital component of a premier health data network, our platform offers secure, accessible, and impactful data, empowering various healthcare stakeholders, including life sciences firms, government agencies, and care providers. By joining Datavant's vibrant team, you will contribute to innovative technology solutions that tackle crucial challenges in healthcare. We celebrate diversity and value a wide array of professional, educational, and personal experiences to help us reach our ambitious goals in the healthcare industry. Key Responsibilities: Conduct thorough audits of coded medical charts in accordance with specified client guidelines, as directed by the quality supervisor. Skillfully navigate and implement diverse client...

Join Datavant, a pioneering data platform company transforming health data exchange. Our mission is to ensure that every healthcare decision is guided by accurate data at the right moment and in the most useful format. As a leading health data network, our platform offers secure, accessible, and actionable data, empowering various healthcare stakeholders, including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing and values-driven team, you'll play a vital role in creating innovative technology solutions that tackle significant challenges in healthcare. We celebrate a diverse team bringing together a wealth of professional, educational, and personal experiences to achieve our ambitious goals in the healthcare sector. Key Responsibilities: Conduct thorough audits of coded medical charts according to specific client guidelines as directed by the quality supervisor. Efficiently navigate and apply various client...

Join Datavant, a leading data platform company that is revolutionizing health data exchange. Our mission is to ensure every healthcare decision is backed by accurate data at the right moment and in the most useful format. As part of a premier health data network, our platform provides secure, accessible, and actionable data, empowering various healthcare stakeholders, including life sciences firms, government agencies, and care providers. By joining Datavant's dynamic team, you'll contribute to innovative technology solutions that address significant challenges in healthcare. We celebrate diversity and value a wide range of professional, educational, and personal experiences to achieve our ambitious goals in the healthcare sector. Key Responsibilities: Perform comprehensive audits of coded medical charts in compliance with specific client guidelines as directed by the quality supervisor. Expertly navigate and apply various client protocols. Maintain a quality...

Join Datavant, a pioneering data platform company transforming health data exchange. Our mission is to ensure that every healthcare decision is guided by accurate data at the right moment and in the most useful format. As a leading health data network, our platform offers secure, accessible, and actionable data, empowering various healthcare stakeholders, including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing and values-driven team, you'll play a vital role in creating innovative technology solutions that tackle significant challenges in healthcare. We celebrate a diverse team bringing together a wealth of professional, educational, and personal experiences to achieve our ambitious goals in the healthcare sector. Key Responsibilities: Conduct thorough audits of coded medical charts according to specific client guidelines as directed by the quality supervisor. Efficiently navigate and apply various client...

A leading health organization is seeking a dedicated professional for conducting comprehensive audits and assessments of medical records in accordance with compliance regulations. The ideal candidate will possess at least 5 years of experience in medical coding and auditing, with a strong understanding of the Medicare Risk Adjustment process. This role involves mentoring others, ensuring quality documentation, and collaborating with various stakeholders. A Bachelor's degree or equivalent experience along with CPC or CCS-P credentials are required. Competitive salary and benefits offered. #J-18808-Ljbffr

A leading healthcare provider in South Dakota is seeking a qualified individual for the role of audit specialist. This position involves conducting audits of medical records and ensuring compliance with regulations. Candidates should have expertise in ICD coding and experience with Risk Adjustment processes, along with strong communication and mentoring skills. The role demands a commitment to enhancing quality and supporting team members in achieving high standards. #J-18808-Ljbffr

A leading healthcare company is seeking an experienced professional for conducting audits on medical records. Responsibilities include applying coding judgment, reporting findings, and mentoring internal staff. The role requires a minimum of 5 years' experience in medical record documentation review, expertise in risk adjustment processes, and relevant certifications. This full-time position offers competitive pay and a comprehensive benefits package. #J-18808-Ljbffr

A leading healthcare organization in the United States seeks a qualified individual for a role focused on conducting audits and reviews of medical records ensuring compliance with regulations. The role involves mentoring staff, communication with regulatory bodies, and a strong understanding of ICD coding and risk adjustment processes. Candidates need at least 5 years of relevant experience and necessary certifications. This full-time position offers a competitive salary range of $46,988 - $112,200 along with comprehensive benefits. #J-18808-Ljbffr

* 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 healthcare organization is seeking a Senior Coding Auditor responsible for performing audits and ensuring compliance with coding guidelines. The ideal candidate will have a minimum of 5 years of experience as a certified coder and current certification from AHIMA or AAPC. Job responsibilities include developing training resources, leading audits, and maintaining knowledge of coding regulations. This position allows for remote work, offers competitive compensation, and includes a bonus opportunity. #J-18808-Ljbffr

A healthcare organization is seeking a Senior Coding Auditor to lead coding audits, ensure compliance with regulations, and educate internal stakeholders. The ideal candidate will have over 5 years of experience as a certified coder, with strong knowledge of diagnosis coding conventions. The role requires maintaining active coding certification and engaging in continuous education on coding topics. Benefits include competitive pay and a comprehensive rewards program, along with opportunities for professional development. #J-18808-Ljbffr