Risk Adjustment Auditor

Greetings job seekers!Are you a meticulous and detail-oriented individual with a passion for healthcare and risk management? Cigna is currently seeking a skilled Risk Adjustment Auditor to join our dynamic team. In this role, you will have the opportunity to use your analytical skills and expertise in coding and documentation to ensure accurate risk adjustment and revenue optimization for our organization. If you are looking for a challenging and rewarding career with a leading healthcare company, then we encourage you to apply for this exciting opportunity. Read on for more details about the position and the qualifications we are looking for in our ideal candidate.

1. Conduct risk adjustment audits to ensure accuracy and compliance with coding and documentation guidelines.
2. Analyze medical records and coding data to identify potential areas for improvement and revenue optimization.
3. Collaborate with cross-functional teams to develop and implement risk adjustment improvement strategies.
4. Stay updated on industry changes and regulations related to risk adjustment and communicate updates to relevant parties.
5. Provide guidance and education to healthcare providers on risk adjustment coding and documentation best practices.
6. Utilize coding expertise to accurately assign and review diagnosis codes for risk adjustment purposes.
7. Maintain detailed and organized records of audit findings and recommendations.
8. Communicate audit results and recommendations to management and other stakeholders.
9. Continuously monitor and evaluate risk adjustment processes to identify potential areas for improvement.
10. Keep up-to-date with coding and documentation guidelines and requirements to ensure compliance.
11. Participate in training and development opportunities to enhance skills and knowledge.
12. Demonstrate a commitment to quality, accuracy, and efficiency in all audit processes.
13. Adhere to company policies, procedures, and standards.
14. Support and promote a positive and collaborative work environment within the team and across departments.
15. Uphold confidentiality and handle sensitive information with discretion.

According to JobzMall, the average salary range for a Risk Adjustment Auditor is $60,000-$90,000 per year. However, this can vary depending on factors such as location, experience, and employer. Some risk adjustment auditors may earn more or less than this range. It is important to research and compare salaries in your specific area and industry to get a more accurate understanding of what you can expect to earn as a Risk Adjustment Auditor.

Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.