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Risk Adjustment Audit Manager

9/11/2025

Not specified

Job Summary

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

Key Responsibilities
  • Monitor quality activities to enhance departmental accuracy and efficiency
  • Review audit findings and collaborate with supervisors to develop best practices
  • Manage the implementation of proactive solutions to mitigate project quality risks
Required Qualifications
  • Coding Certification (CCS, CCS-P, CPC, CPC-H, or CRN-C)
  • 5+ years of experience auditing Risk Adjustment records
  • 1+ years of Risk Adjustment Data Validation Audit experience
  • 1+ years of experience in an Operations/Production environment
  • 1+ years of management experience responsible for performance management

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