Remote Risk Adjustment Coding Auditor

Risk Adjustment Coding Auditor (Remote) nLocation: 100% Remote (Approved U.S. States Only) nEmployment Type: Contract (5 Months) nSchedule: First Shift nOverview nWe are seeking experienced Risk Adjustment Coding Auditors to support a growing healthcare 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 thrive in a production-driven environment. nThis position offers the opportunity to work remotely while contributing to the accuracy, integrity, and compliance of risk adjustment programs that support quality healthcare outcomes and reimbursement processes. nKey Responsibilities nnnAudit risk adjustment codes for accuracy, consistency, and compliance with coding guidelines and best practices n nnPerform retrospective and prospective medical record reviews n nnValidate diagnosis coding based on provider documentation and CMS-HCC requirements n nnIdentify coding and documentation gaps that impact risk adjustment reporting n nnEnsure compliance with HIPAA, privacy, security, and regulatory requirements n nnProvide written and verbal feedback regarding coding errors, trends, and improvement opportunities n nnSupport audit initiatives, production goals, and special projects n nnAct as a subject matter expert on risk adjustment coding and audit practices n nnComplete audit deliverables within established timelines and quality standards n n nRequired Qualifications nnn7+ years of relevant professional experience n nn5+ years of HCC coding experience utilizing inpatient and outpatient coding guidelines n nn5+ years of Risk Adjustment audit experience n nn1+ year working in a production-based environment n nnCRC (Certified Risk Adjustment Coder) certification in good standing n nnWorking knowledge of Medicare, ACA Commercial, and Medicaid risk adjustment models n nnExperience communicating coding findings and audit outcomes to stakeholders n nnIntermediate proficiency with Microsoft Office (Excel, Word, Outlook, PowerPoint) n nnStrong analytical, organizational, and critical thinking skills n nnHigh School Diploma or equivalent n nnAuthorized to work in the United States without sponsorship n n nPreferred Qualifications nnnBachelor's Degree n nnRHIT or RHIA certification with strong risk adjustment coding experience n nnHEDIS and/or STARS experience n nnProvider education experience n nnRADV audit experience n nnCPMA or additional coding certifications n nnExperience with NLP software platforms n n nPreferred Skills nnnRisk Adjustment n nnHCC Coding n nnMedical Coding Audits n nnHealthcare Compliance n nnMedicare Risk Adjustment n nnDocumentation Review n nnCMS-HCC Methodology n nnClinical Documentation Improvement n n nWork Environment nnnFully remote position n nnFirst shift schedule n nnCollaborative healthcare-focused team environment n nnPotential for future extension or conversion based on business needs and performance n n nEligible States nArizona, Arkansas, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, and Wisconsin. nInterested candidates should have a strong background in risk adjustment auditing, HCC coding, and healthcare compliance, along with an active CRC certification. n#centralpriority26 nJob Type & Location nThis is a Contract position based out of St Paul, MN. nPay and Benefits nThe pay range for this position is $32.00 - $37.00/hr. nEligibility 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) nWorkplace Type nThis is a fully remote position. nApplication Deadline nThis position is anticipated to close on Aug 14, 2026. nAbout TEKsystems nWe'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. nThe 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. nAbout TEKsystems and TEKsystems Global Services nWe're 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. We're 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. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're 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. nThe 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. nSan 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. nMassachusetts 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. nUse 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.