Certified Risk Adjustment Supervisor

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
• Monitor quality activities to enhance departmental accuracy and efficiency, identifying and planning improvements
• Collaborate with the team to communicate areas of improvement and implement proactive solutions to mitigate risks affecting project quality

Required Qualifications:

• Coding Certification (e.g., 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 supervisory experience in performance management
• Experience utilizing claims data to abstract ICD-10-CM codes for risk adjustment