[All remote jobs](https://jobicy.com/jobs.md)[![Datavant logo](https://jobicy.com/data/server-nyc0409/galaxy/mercury/2025/06/a41e8e85-221.jpeg)](https://jobicy.com/company/datavant.md)[Datavant](https://jobicy.com/company/datavant.md) # Auditor, HCC Risk Adjustment Coding Review the role, location requirements, compensation details, and application process before deciding whether this opportunity fits your next career move. [Apply for this job](#job-application)[View company](https://jobicy.com/company/datavant.md)ShareRemote from[USA](https://jobicy.com/job-region/usa.md)SalaryUSD 29–33 / hourDepartment[Healthcare & Medical](https://jobicy.com/categories/healthcare.md)EmploymentFull TimeExperienceSeniorPublished2 Nov 2026Apply before2 Dec 2026Listing views52Application actions2Application toolkit ## Make your next move. Prepare your resume, explore your fit, and draft a cover letter for this opportunity. AI Summary ## The role, at a glance. Datavant is seeking an HCC Risk Adjustment Coding Auditor to review coded medical records and ensure diagnoses are accurately supported by clinical documentation. The role audits charts against client-specific guidelines, resolves coding rebuttals, and maintains at least 95% diagnosis-level quality. Candidates need at least two years each of HCC coding and HCC auditing experience, deep ICD-10 expertise, and an AHIMA or AAPC credential. This is a remote US healthcare coding role requiring independent work, strong written communication, production discipline, and careful handling of sensitive health data. ## Role DNA A quick view of the complexity, pace, ownership and collaboration implied by the job description. ### Job Complexity 4/5EasyHard ### Pace & Pressure 4/5RelaxedFast-paced ### Autonomy Level 4/5GuidedFull ownership ### Communication Load 3/5IndependentCollaborative AI insightThe position requires specialized HCC risk-adjustment auditing knowledge, recognized coding credentials, and precise interpretation of clinical documentation. Quality targets, shifting client rules, and rebuttal responses add meaningful accuracy and productivity pressure. ## Salary analysis Estimated compensation compared with the broader US market for similar roles. Estimated job median (per hour)Market rate$31US market range (per hour)$28–$380$41.80 AI insightThe hourly pay period is inferred from the job context; it was not explicitly stated by the employer. The employer explicitly lists an estimated base pay range of $29–$33 USD per hour, with a midpoint of $31 per hour. Estimated US market pay for an experienced HCC coding auditor is approximately $28–$38 USD per hour; actual pay may vary by credential, productivity expectations, and location. ## Core skills Skills and capabilities most closely associated with this opportunity. [HCC risk adjustment coding](https://jobicy.com/jobs?search_keywords=HCC%20risk%20adjustment%20coding.md)[HCC auditing](https://jobicy.com/jobs?search_keywords=HCC%20auditing.md)[ICD-10-CM](https://jobicy.com/jobs?search_keywords=ICD-10-CM.md)[Medical record review](https://jobicy.com/jobs?search_keywords=Medical%20record%20review.md)[Clinical documentation review](https://jobicy.com/jobs?search_keywords=Clinical%20documentation%20review.md)[Medical terminology](https://jobicy.com/jobs?search_keywords=Medical%20terminology.md)[Diagnosis coding](https://jobicy.com/jobs?search_keywords=Diagnosis%20coding.md)[Quality assurance](https://jobicy.com/jobs?search_keywords=Quality%20assurance.md)[Risk adjustment](https://jobicy.com/jobs?search_keywords=Risk%20adjustment.md)[AHIMA certification](https://jobicy.com/jobs?search_keywords=AHIMA%20certification.md)[AAPC certification](https://jobicy.com/jobs?search_keywords=AAPC%20certification.md)[Healthcare compliance](https://jobicy.com/jobs?search_keywords=Healthcare%20compliance.md)[Remote collaboration](https://jobicy.com/jobs?search_keywords=Remote%20collaboration.md)[Time management](https://jobicy.com/jobs?search_keywords=Time%20management.md) Sample interview questionsHow do you determine whether a diagnosis is valid for HCC risk adjustment coding?I verify that the diagnosis is clearly documented by an appropriate provider, assessed or addressed during the encounter, and supported by the clinical record. I apply current ICD-10-CM and client-specific guidance, ensuring the code reflects the highest supported level of specificity without inferring undocumented conditions. How would you handle an audit finding that conflicts with a coder’s interpretation? I would review the complete documentation, applicable coding guidance, and client rules before explaining the finding objectively. In my rebuttal response, I would cite the relevant documentation and guideline so the decision is consistent, educational, and defensible. What practices help you maintain a 95% or higher diagnosis-level quality rate in a production environment? I use a structured audit workflow, validate documentation-to-code linkage for each diagnosis, and pause to research uncertain cases rather than making assumptions. I also track recurring error patterns, review guideline updates, and use feedback to improve both speed and accuracy. Describe how you adapt when working across clients with different coding guidelines. I review each client’s current specifications before beginning a queue and maintain clear reference notes for material differences. I separate client-specific rules from standard ICD-10 guidance and ask the quality lead for clarification early when a rule is ambiguous. How do you protect sensitive patient information while working remotely? I follow HIPAA and company security procedures by using approved systems and secure connections, limiting access to authorized work purposes, and preventing unauthorized viewing or sharing of records. I also maintain a private workspace and promptly report any suspected privacy or security concern. Opportunity details ## About this role. Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem – including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For: As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient’s health status and confirming the accuracy of said work. What You Will Do: * Audit coded charts assigned by quality supervisor per the client guidelines * Ability to move from different sets of client guidelines with minimal difficulty * Maintain a 95% quality average at a diagnosis level * Answer rebuttals entered on the auditor by coders and or auditors * Participate in weekly coding project review meetings * Any other tasks asked by quality supervisor What You Need to Succeed: * 2 years’ HCC Coding experience * 2 years’ HCC Auditing experience * Extensive knowledge of ICD -10 * High school diploma or GED equivalent required * AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC) * A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes * Ability to work in a fast-paced production environment while maintaining high quality * Must be able to follow instructions, meet deadlines and work independently * Ability to be flexible in work environment * Excellent written and verbal communication skills, ability to work in a remote environment and time management skills * Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $29—$33 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement [here](https://www.datavant.com/eeo-commitment-statement). [Know Your Rights](https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal), explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it [here,](https://peopleteam.datavant.com/portal/en/newticket?departmentId=248697000248790029&layoutId=248697000248795462) by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it [here](https://app.tango.us/app/workflow/Greenhouse--Locating-Requisition-ID-2c7d618c8a8a423da4330ff12330695e). Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our [Privacy Policy](https://www.datavant.com/privacy-policy). 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