Risk Adjustment Coding Auditor

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 & Location

This is a Contract position based out of Minneapolis, MN.

The 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)

This is a Contract position based out of Minneapolis, MN.

This position is anticipated to close on Nov 6, 2026.

This 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.