Manager, Compliance Risk Adjustment
Core
Manages a team responsible for facilitating and leading external audits related to Risk Adjustment processes, ensuring visibility through reporting and collaborating on compliance issue prevention.
Role type
Manager, Compliance Risk Adjustment
Builds
External audit deliverables and corrective action plans for state and federal regulatory agencies
Domain
Healthcare / Risk Adjustment / Compliance
Deliverable
dashboards & analysis
Required skills
External audit management, Risk Adjustment oversight, Regulatory compliance, Corrective action planning, Audit documentation, Stakeholder reporting, Quality review, Strategy development
Preferred skills
Risk Adjustment coding planning, Medicare experience, Risk Adjustment regulatory landscape knowledge, Risk Adjustment regulatory audit experience
Technologies
AHIMA/AAPC coding credentials, CPMA, RHIA, RHIT, Risk Adjustment Credential
Responsibilities
Serve as point of contact for external audits, manage audit deliverable submissions, quality review audit deliverables, communicate with internal/external audit partners, socialize risks with internal partners, support Corrective Action Plan development, maintain audit documentation, prepare reports on audit performance, support strategy development for accuracy and efficiency, provide operational and analytical support to the department
Seniority
Manager, team leadership
