Certified Risk Adjustment Auditor
virtual vocationsDenver (CO)
Certified Risk Adjustment Auditor
Posted today
virtual vocationsDenver (CO)
SENIORITY
Senior
About the role
Ensuring the accuracy and compliance of coded clinical data, the remote contract Certified Risk Adjustment Auditor will conduct chart reviews, audit diagnosis codes, and provide feedback to improve coding practices within a healthcare setting.
Key responsibilities:
Conduct retrospective and prospective chart reviews to validate risk adjustment coding accuracy and completeness
Audit provider-reported diagnosis codes for compliance with coding guidelines and regulatory requirements
Identify coding and documentation deficiencies and provide feedback to stakeholders
Required qualifications:
High school diploma, GED, or equivalent practical experience
7+ years of professional experience in risk adjustment, medical coding, auditing, or a related healthcare field
5+ years of Hierarchical Condition Category (HCC) coding experience
Certified Risk Coder (CRC) certification in good standing or ability to obtain certification within six months of hire
Experience interpreting and applying coding policies, regulations, and documentation standards
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.