Certified Risk Adjustment Auditor

Job Summary

A company is looking for a Risk Adjustment Validation Audit Supervisor - Remote.

Key Responsibilities:

• Supervise medical record reviews, risk adjustment code abstraction, and quality assurance auditing for Medicare RADV audits
• Responsible for quality monitoring activities to enhance departmental accuracy and efficiency, including identifying and planning improvements
• Communicate feedback from operational and QA reports to improve performance and manage day-to-day production operations

Required Qualifications:

• Certified Risk Adjustment Coder
• Coding Certification, i.e., CCS, CCS-P, CPC, CPC-H or CRN-C
• 3+ years of experience auditing Risk Adjustment records
• 1+ years of Risk Adjustment Data Validation Audit experience
• 1+ years of experience as a supervisor in an Operations/Production environment