Risk Adjustment (RA) / HCC Coder and Auditor

Job overview

The Risk Adjustment (RA) / HCC Coder and Auditor role is remote, with the listing location in Pittsburgh, PA; compensation is not specified. e4health’s stated vision is to empower better health for its clients, team, and communities. The auditor reviews medical records and validates HCC coding for completeness and accuracy under ICD-10-CM and risk-adjustment guidelines. The role also reports quality results, identifies education opportunities, and supports coder and provider training while meeting accuracy and productivity standards.

What you'll do

• Complete scheduled quality assurance reviews
• audit medical records for accurate and complete diagnoses and HCC code assignment
• confirm coding to the highest documented specificity
• identify and communicate coding and documentation trends
• report quality results
• provide educational support and training
• protect patient-record confidentiality
• meet productivity and quality requirements
• maintain coding credentials.

What we're looking for

Skills & competencies

hcc auditor

risk adjustment

hcc coding

remote

medical records

icd-10-cm

chart audits

quality assurance

coding education

e4health

january–april 2027 project

Work arrangement

• Weekend coverage required

Benefits & perks

• The posting describes a benefits package including 401(k) with company match, medical, dental, vision, life, short- and long-term disability insurance, and paid time off.

Why this role

The project requires availability for its full January–April 2027 duration and prohibits candidates who coded BY 2025 ACA or HHS charts.

About the employer

e4health is hiring for this role. Industry: Administrative Management and General Management Consulting Services. Sector: 54.