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Flexible Director Of Risk Adjustment Jobs (NOW HIRING)

Viva Health

Risk Adjustment Specialist

Birmingham, AL · On-site

$92K/yr

This position will assist the Manager of Risk Adjustment with other projects as needed. Why VIVA ... Flexible Spending Accounts * Healthcare Reimbursement Account * Paid Parental Leave * Community ...

Bobtail

Director of Risk

OR · On-site +1

Transparency We are seeking an experienced Director of Risk to lead and strengthen our risk, underwriting, fraud prevention, and compliance functions within the freight factoring industry. This ...

DaMar Staffing

Senior Medical Coder- Risk Adjustment

Tampa, FL · On-site

$20.50 - $28/hr

Knowledge of Risk Adjustment and HCC coding methodologies * Experience reviewing physician documentation and assigning accurate diagnosis codes * Strong understanding of medical terminology, anatomy ...

Delaware North

Director of Risk Management

Buffalo, NY

$121K - $164K/yr

As the Director of Risk Management, you will be responsible for managing the Corporate Risk ... Advise business units on insurance coverage requirements, negotiate policy adjustments, and ensure ...

Delaware North

Director of Risk Management

Buffalo, NY · On-site

$121K - $164K/yr

As the Director of Risk Management, you will be responsible for managing the Corporate Risk ... Advise business units on insurance coverage requirements, negotiate policy adjustments, and ensure ...

Delaware North

Director of Risk Management

Buffalo, NY · On-site

$121K - $164K/yr

As the Director of Risk Management, you will be responsible for managing the Corporate Risk ... Advise business units on insurance coverage requirements, negotiate policy adjustments, and ensure ...

Mount Sinai Medical Center of Florida, Inc.

NY · On-site

$22.25 - $30.25/hr

## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full timeposted on: Posted ... In delivering an unmatched level of clinical expertise, our medical center is committed to ...

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$143.2K

$260K

How much do flexible director of risk adjustment jobs pay per year?

As of Sep 11, 2026, the average yearly pay for flexible director of risk adjustment in the United States is $143,185.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,500.00 and $167,500.00 per year, depending on experience, location, and employer.

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Flexible Director Of Risk Adjustment jobs near you
Infographic showing various Flexible Director Of Risk Adjustment job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 68% Full Time, 24% Part Time, and 7% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution, with an average salary of $143,185 per year, or $68.8 per hour.

Risk Adjustment - Risk Adjustment Coding Auditor 135-2014

Tulsa, OK • On-site

DaMar Staffing
Recruiting and Staffing Services • 1 - 10 employees
Learn more about DaMar Staffingexternal

$23.50 - $27/hr

Other

Posted 5 days ago

Job description

JOB SUMMARY:

The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity.

KEY RESPONSIBILITIES:
  • Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements.
  • Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines.
  • Identify unsupported diagnoses, over coding, under-coding, and documentation gaps.
  • Provide detailed audit findings and recommendations to coding teams, providers, and leadership.
  • Monitor compliance with CMS Risk Adjustment Data Validation (RADV) standards.
  • Track and report audit results, trends, and performance metrics.
  • Collaborate with coding staff, providers, and operations teams to improve documentation quality and coding accuracy.
  • Assist with education and training initiatives related to risk adjustment and documentation best practices.
  • Maintain confidentiality and ensure compliance with HIPAA regulations.
  • Meet daily and weekly productivity goals and quality standards set by the supervisor.
  • Perform other job-related duties as required or assigned.
QUALIFICATIONS:
  • Knowledge of CMS-HCC and HHS-HCC risk adjustment model.
  • Knowledge of ICD-10-CM coding guidelines.
  • Knowledge of RADV requirements.
  • Proficiency in EMR systems and Microsoft Office (Excel preferred).
  • High attention to detail.
  • Strong analytical and critical thinking skills.
  • Clear written and verbal communication.
  • Ability to work independently and meet deadlines.
  • Strong organizational skills.
  • Integrity and commitment to compliance.
  • Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
  • A minimum of two years of risk adjustment coding or auditing experience.
  • Experience reviewing medical records across multiple specialties.
  • Certified Professional Coder (CPC), CRC, CCS, or equivalent coding certification.
  • Bachelor’s degree in Health Information Management or related field preferred.
  • Previous auditing experience in Medicare Advantage and ACA preferred.
  • Experience with internal audit programs or payer audits preferred.
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