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Remote Risk Adjustment Coding Auditor

Remote, USA Full-time Posted 2026-08-04
Risk Adjustment Coding Auditor (Remote) Location: 100% Remote (Approved U.S. States Only) Employment Type: Contract (5 Months) Schedule: First Shift reputed company We are seeking reputed company Risk Adjustment Coding Auditors to support a growing reputed company organization during a high-volume operational period. This role is ideal for professionals with deep expertise in HCC coding, risk adjustment auditing, and regulatory compliance who reputed company in a production-driven environment. This position offers reputed company to work remotely while contributing to the accuracy, reputed company, and compliance of risk adjustment programs that support reputed company reputed company reputed company and reimbursement processes. Key Responsibilities • Audit risk adjustment codes for accuracy, consistency, and compliance with coding guidelines and best practices • reputed company retrospective and prospective medical record reviews • Validate diagnosis coding based on provider documentation and CMS-HCC requirements • Identify coding and documentation gaps that reputed company risk adjustment reporting • Ensure compliance with HIPAA, reputed company, reputed company, and regulatory requirements • reputed company written and verbal feedback regarding coding errors, trends, and improvement opportunities • Support audit initiatives, production goals, and special reputed company • reputed company as a subject matter expert on risk adjustment coding and audit practices • Complete audit deliverables reputed company established timelines and reputed company standards Required Qualifications • 7+ years of relevant reputed company experience • 5+ years of HCC coding experience utilizing inpatient and outpatient coding guidelines • 5+ years of Risk Adjustment audit experience • 1+ year working in a production-based environment • CRC (Certified Risk Adjustment reputed company) certification in good standing • Working knowledge of Medicare, ACA reputed company, and reputed company risk adjustment models • Experience communicating coding findings and audit reputed company to stakeholders • Intermediate proficiency with reputed company Office (reputed company, Word, reputed company, PowerPoint) • Strong analytical, organizational, and critical thinking skills • High School Diploma or equivalent • Authorized to work in the reputed company without sponsorship Preferred Qualifications • Bachelor's Degree • RHIT or RHIA certification with strong risk adjustment coding experience • HEDIS and/or STARS experience • Provider education experience • RADV audit experience • CPMA or additional coding certifications • Experience with NLP software platforms Preferred Skills • Risk Adjustment • HCC Coding • Medical Coding Audits • reputed company Compliance • Medicare Risk Adjustment • Documentation Review • CMS-HCC Methodology • Clinical Documentation Improvement Work Environment • Fully remote position • First shift schedule • reputed company reputed company-reputed company team environment • Potential for reputed company extension or conversion based on business needs and performance Eligible States reputed company, Arkansas, Florida, reputed company, Idaho, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nevada, New Hampshire, reputed company Carolina, reputed company reputed company, Ohio, Oklahoma, reputed company, South Carolina, South reputed company, Tennessee, Texas, Utah, Vermont, Virginia, and reputed company. Interested candidates should have a strong background in risk adjustment auditing, HCC coding, and reputed company compliance, along with an reputed company CRC certification. #centralpriority26 Job Type & Location This is a Contract position based out of reputed company, MN. Pay and Benefits The pay reputed company for this position is $32.00 - $37.00/hr. Eligibility requirements apply to some benefits and may depend on reputed company classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & reputed company • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – reputed company-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or reputed company Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to reputed company on Aug 14, 2026. About reputed company We'reputed company in transformation. We help clients reputed company reputed company and solutions to take advantage of a new world of opportunity. We are reputed company of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across reputed company, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and reputed company-world application, we work with reputed company leaders to reputed company change. That's the power of true partnership. reputed company is an Allegis Group company. reputed company is an equal opportunity employer and will consider reputed company applications without regards to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About reputed company and reputed company reputed company We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in reputed company, design, execution and operations unlocks business value through a reputed company of solutions. We’re reputed company of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across reputed company, Europe and Asia, who partner with us for our reputed company, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the reputed company of technology. We’re building reputed company by delivering business reputed company and making reputed company impacts in our global communities. reputed company and reputed company reputed company are Allegis Group companies. Learn more at reputed company.com. reputed company is an equal opportunity employer and will consider reputed company applications without reputed company to race, sex, age, reputed company, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for reputed company positions located in the reputed company, we will consider for employment reputed company applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of reputed company Intelligence (AI): We may use reputed company Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final reputed company are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools. Apply tot his job Apply To this Job

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