Risk Adjustment Compliance Auditor

Alignment Health

Remote Risk Adjustment Compliance Auditor supporting coding and compliance activities at Alignment Health. Conducting audits and ensuring coding accuracy in a fully remote environment.

Posted 5/23/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $64,384 - $96,577 per yearWebsite

About the role

Key responsibilities & impact

Conduct provider and coder-level audits
Review medical record documentation and coding accuracy
Identify compliance risks and outliers
Support RADV and other risk adjustment audit initiatives
Partner closely with Risk Adjustment leadership and cross-functional teams
Help ensure coding accuracy, regulatory compliance, audit readiness, and corrective action follow-through across the organization
Provide audit feedback and compliance education to internal and provider-facing stakeholders as needed

Requirements

What you’ll need

Minimum 3 years of professional coding experience in a medical group or health plan setting
Bachelor’s degree in business administration, health care management or in a related field or 4 years additional experience in lieu of education
Certified Coder required - CPC, CCS & CCS-P
Experience with strategic planning in risk mitigation.
Previous use of Epic, Allscripts, EZCap a plus.
Proficient user in MS office suite, MS access a plus.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors.

Benefits

Comp & perks

Flexible working hours available post-training based on business needs and team collaboration
Health insurance
Professional development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical codingcoding accuracycompliance auditingrisk adjustmentstrategic planningrisk mitigation

Soft Skills

effective communicationrelationship buildingcollaborationfeedback provisioneducation

Certifications

CPCCCSCCS-P