Jobs in the United States

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Added 14 mins ago
Inpatient Medical Coding Auditor
Humana
Topeka, KS
The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT)…
Added 14 mins ago
Nurse Auditor
Humana
Topeka, KS
The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate…
Added 1 hour ago
DRG Coding Auditor - MS-DRG and APR-DRG
Elevance Health
Indianapolis, IN
The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and…
Added 4 hours ago
Inpatient Medical Coding Auditor
Humana
Montpelier, VT
The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT)…
Added 8 hours ago
AI Engineer
CCC Intelligent Solutions Inc.
Remote, United States
Use agentic coding tools every day, and own the review of what they produce: catch the correctness, security, and design problems in generated code before you open the pull request.
Added 11 hours ago
Internal Auditor
Cape Cod Healthcare, Inc.
Hyannis, MA
The Coding and Billing Compliance Auditor ensures the accuracy, integrity, and regulatory compliance of clinical documentation, coding, and billing practices across the health system. The…
Added 11 hours ago
Medical Record Billing Compliance Auditor & Physician Educat
Robert Half
Tewksbury, MA
We are seeking a Medical Record Billing Compliance Auditor & Physician Educator with a minimum of three years of experience as a Medical Record Billing Compliance Auditor and Medical Record…
Added 13 hours ago
Documentation Quality Auditor IV
Kaiser Permanente
Oakland, CA
Contributes to coding quality audits by conducting special projects, audits, reviews, and/or monitoring of assigned lines of business or scope to monitor the accuracy and quality of coding…
Added 14 hours ago
AE
Assistant Controller
Arbor Energy
El Segundo, CA
- $165,000 to $190,000 USD / year
Get the books ready for Arbor’s first financial statement audit, including account support, schedules, and documentation that an auditor can rely on.
Added 14 hours ago
Senior Product Security Assurance Analyst (term-limited)
Seattle, WA
Ensure adherence to secure coding, encryption, and data handling standards for new applications.
Added 14 hours ago
ST
Accounts Payable Auditor
Swift Transportation
Phoenix, AZ
- $15.98 to $21.99 USD / hour
Audit invoices for accuracy, verify invoice information and general ledger account coding of invoices.
Added 14 hours ago
Senior Modernization Engineer
TX-HHSC-DSHS-DFPS
AUSTIN, TX
Supports modernization governance by promoting domain-driven design, secure coding, DevSecOps practices, responsible use of AI-assisted development tools, cloud readiness, quality…
Added 15 hours ago
UG
Quality Claims Manager
UnitedHealth Group
Dallas, TX · Phoenix, AZ · Minneapolis, MN · Tampa, FL · Hartford, CT
- $72,800 to $130,000 USD / year
2+ years of experience leading or supporting claims audits, quality monitoring, calibration, Audit-the-Auditor, error trending, or remediation
Added 15 hours ago
Quality Auditor Meridian
Fortune Brands
Meridian, ID
Reading Skills: Interpret manuals, safety instructions, reports, and understand images, graphs, and coding systems in the work area.
Added 15 hours ago
Billing Specialist III
UTSW
TX
Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) and/or degrees (associate level, bachelor level, master level) preferred and may be considered in lieu of experience.
Added 15 hours ago
Manager, Consumer Performance, Affiliates
DoorDash USA
Remote, United States
AI Tool Familiarity: Comfort and familiarity with AI-assisted coding and productivity tools (such as Claude Code and Cursor) to accelerate data analysis, query writing, and workflow…
Added 15 hours ago
Certified Home Health Medical Coder / OASIS Auditor – Remote, Per Diem
DEPENDABLE HEALTH SERVICES
Tucson, AZ
This is an excellent opportunity for detail-oriented professionals with strong Home Health coding and OASIS experience who enjoy working independently while supporting clinical accuracy,…
Added 15 hours ago
MMA- Dental Auditor and Administrative Assistant
Group SSI
United States
Dental Auditor and Administrative Assistant Job Description -Full-time
Added 15 hours ago
Sr. Accountant
Crux
Remote, United States
- Own Ramp and Navan administration: card setup and limits, transaction coding review, receipt and policy compliance, reimbursements and repayments, and first-line support for employee…
Added 16 hours ago
Medical Coding Auditor
Texas Tech University Health Sciences Center – El Paso
El Paso, TX
organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to provide education on medical coding and documentation based on…
Added 16 hours ago
S
Health Claims Specialists
Sutherland
Remote, United States
- $13.5 USD / hour
Refer problem claims to a Lead and/or auditor for additional review
Added 16 hours ago
UG
Quality Claims Manager
UnitedHealth Group
Dallas, TX · Hartford, CT · Minneapolis, MN · Phoenix, AZ · Tampa, FL
- $72,800 to $130,000 USD / year
2+ years of experience leading or supporting claims audits, quality monitoring, calibration, Audit-the-Auditor, error trending, or remediation
Added 16 hours ago
Diagnosis-Related Group (DRG) Auditor III
EXL Talent Acquisition Team
United States
Are you a passionate and experienced DRG Auditor looking for an opportunity to thrive in a dynamic, innovative environment? EXL USA Healthcare is seeking a DRG Auditor III to join our team!…
Added 16 hours ago
Clinical Validation Auditor (CVA) Auditor III
EXL Talent Acquisition Team
United States
…getting the details right? Join EXL as a Clinical Validation Auditor and help ensure medical claims are coded accurately and fairly. This is a fully remote position where you’ll use your…
Added 17 hours ago
Remote - Professional Coding Auditor
Emory Healthcare
Atlanta, GA
This position ensures the accuracy, completeness, and compliance of medical coding and clinical documentation for professional coding services. The role supports accurate coding practices,…

TEKsystems

Risk Adjustment Coding Auditor

Minneapolis, MN, United States

$32 to $37 USD / hour

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Job details

Pay: $32 to $37 USD / hour
Posting language: English
Posted: Oct 27, 2026

Original job description

Position Overview We are seeking an experienced Risk Adjustment Coding Auditor to join our team. This role is responsible for ensuring the accuracy, completeness, and compliance of risk adjustment coding and clinical documentation across Medicare, Medicaid, and ACA Commercial populations. The ideal candidate will bring deep expertise in HCC coding, risk adjustment auditing, and regulatory compliance while serving as a trusted resource for coding guidance and best practices.The Risk Adjustment Coding Auditor plays a critical role in supporting accurate reimbursement, reducing compliance risk, improving data integrity, and driving organizational success through high-quality coding audits and reporting.

Key Responsibilities

Conduct retrospective and prospective chart reviews to validate risk adjustment diagnoses and reporting accuracy.
Audit provider-reported diagnosis codes for accuracy, specificity, completeness, and documentation support.
Review medical records to identify complete and accurate diagnosis capture in alignment with CMS-HCC guidelines.
Ensure coding practices comply with applicable regulatory requirements, coding standards, and organizational policies.
Maintain compliance with HIPAA, privacy, security, and confidentiality requirements when handling patient information.
Identify coding discrepancies, documentation gaps, and trends that may impact risk adjustment performance.
Provide written and verbal feedback regarding coding errors, audit findings, and process improvement opportunities.
Support organizational audit and production goals while meeting established deadlines and productivity standards.
Assist with risk mitigation reviews, special projects, and supplemental audit initiatives.
Serve as a subject matter expert on risk adjustment methodologies, diagnosis coding, and regulatory requirements.
Collaborate with internal stakeholders to improve coding accuracy and documentation practices.

Required Qualifications

High School Diploma or equivalent.
Legal authorization to work in the United States.
CRC (Certified Risk Coder) certification in good standing.
7+ years of related professional experience.
5+ years of HCC coding experience utilizing inpatient and outpatient coding guidelines.
5+ years of experience auditing risk adjustment records.
1+ year of experience working in a production-driven environment.
Intermediate knowledge of Medicare, Medicaid, and ACA Commercial risk adjustment models.
Demonstrated ability to interpret and apply coding policies using sound critical thinking and analytical skills.
Experience providing written and verbal education on coding errors, trends, and best practices.
Intermediate proficiency with Microsoft Office Suite (Excel, Word, Outlook, and PowerPoint).
Strong organizational, time management, and multitasking skills with the ability to meet deadlines.

Preferred Qualifications

Bachelor's degree.
RHIT or RHIA credential combined with strong risk adjustment coding experience.
HEDIS and/or STARS program experience.
Provider education and training experience.
Prior RADV audit experience.
CPMA or additional coding certifications.
Experience utilizing NLP (Natural Language Processing) software solutions.
Advanced knowledge of risk adjustment methodologies and compliance standards.

Job Type & LocationThis is a Contract position based out of Minneapolis, MN. Pay and BenefitsThe pay range for this position is $32.00 - $37.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.Eligibility requirements apply to some benefits and may depend on your job 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 & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-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 Sick Leave) Job Type & LocationThis is a Contract position based out of Minneapolis, MN. Application DeadlineThis position is anticipated to close on Nov 6, 2026. Workplace TypeThis is a fully remote position.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, 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 all positions located in the city and county of San Francisco, we will consider for employment qualified 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 continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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More about this job

Skills

Regulatory compliance
Documentation
ACA
Auditing
Reporting
CMS
Process improvement
Critical thinking
Analytical skills
Microsoft Office
Microsoft Excel
Microsoft Word
Microsoft Outlook
Microsoft PowerPoint
Time management
Multitasking
Meet deadlines
Natural language processing

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