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Medicare Risk Adjustment Audit Jobs in Colorado (NOW HIRING)

Supplied Talent

CFO (Chief Financial Officer)

Grand Junction, CO

$120K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... audit requests. Revenue Cycle & Billing Oversee resident billing across all payer types - Medicare ... Post billing, charge slips, adjustments, and collections to the proper ledgers; ensure all ledgers ...

Supplied Talent

CFO (Chief Financial Officer)

Grand Junction, CO · On-site

$120K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Prepare, review, and file the annual Medicare and Medicaid cost reports; maintain supporting cost ... Coordinate and respond to regulatory audits, lender reporting requirements, and external audit ...

Supplied Talent

CFO (Chief Financial Officer)

Grand Junction, CO · On-site

$120K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Reimbursement & Cost Reporting • Prepare, review, and file the annual Medicare and Medicaid cost ... audit requests. Revenue Cycle & Billing • Oversee resident billing across all payer types ...

EDCare

Director Of Regulatory Compliance

Denver, CO · On-site

... Medicare and Medicaid Services, the Center of Disease Control and Prevention, State and Federal ... risk by creating and implementing HIPAA-compliant procedures where needed to include audits ...

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All JobsMedicare Risk Adjustment Audit JobsMedicare Risk Adjustment Audit Jobs in Colorado

Medicare Risk Adjustment Audit information

What is a Medicare Risk Adjustment Audit?

A Medicare Risk Adjustment Audit is a review process conducted to ensure that healthcare providers are accurately reporting patient diagnoses to Medicare Advantage plans. This audit verifies that submitted diagnoses are supported by proper medical documentation, which affects how much Medicare pays to health plans. The goal is to prevent overpayments or underpayments and to ensure compliance with federal regulations. These audits are typically performed by the Centers for Medicare & Medicaid Services (CMS) or their contractors.

What are some common challenges faced by professionals in Medicare Risk Adjustment Audit roles, and how can they be addressed?

Professionals in Medicare Risk Adjustment Audit roles often encounter challenges such as interpreting complex medical documentation, staying updated on evolving CMS guidelines, and ensuring data accuracy for compliant risk scoring. Effective collaboration with coders, providers, and compliance teams is essential to resolve discrepancies and achieve audit objectives. Staying proactive in ongoing training and leveraging audit technologies can help address these challenges and contribute to high-quality, compliant results.

What are the key skills and qualifications needed to thrive as a Medicare Risk Adjustment Auditor, and why are they important?

To thrive as a Medicare Risk Adjustment Auditor, you need expertise in medical coding, healthcare compliance, and an understanding of CMS risk adjustment guidelines, often supported by a coding certification such as CPC or CRC. Familiarity with auditing software, electronic health records (EHRs), and data analytics tools is typically required. Attention to detail, analytical thinking, and strong communication are essential soft skills for reviewing documentation and conveying findings. These skills are crucial for ensuring accurate risk adjustment coding, regulatory compliance, and optimized reimbursement for healthcare organizations.

What is the difference between Medicare Risk Adjustment Audit vs Medicare Coding Specialist?

AspectMedicare Risk Adjustment AuditMedicare Coding Specialist
Primary FocusReviewing and verifying accuracy of risk adjustment dataAssigning correct medical codes for billing and documentation
CertificationsRisk adjustment or auditing certifications often preferredMedical coding certifications like CPC or CCS
Work EnvironmentHealthcare organizations, insurance companies, auditing firmsHospitals, clinics, billing companies
Industry UsageUsed in Medicare Advantage plan compliance and reimbursementUsed in medical billing and claims processing

While both roles involve healthcare data, Medicare Risk Adjustment Auditors focus on verifying the accuracy of risk scores for Medicare payments, whereas Medicare Coding Specialists assign medical codes for billing purposes. Understanding these differences helps in choosing the right career path or job focus within the healthcare industry.

What are popular job titles related to Medicare Risk Adjustment Audit jobs in Colorado?

For Medicare Risk Adjustment Audit jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Medicare Risk Adjustment Audit jobs in Colorado look for?

The top searched job categories for Medicare Risk Adjustment Audit jobs in Colorado are:

What cities in Colorado are hiring for Medicare Risk Adjustment Audit jobs?

Cities in Colorado with the most Medicare Risk Adjustment Audit job openings:

Medicare Risk Adjustment Audit jobs near you
Infographic showing various Medicare Risk Adjustment Audit job openings in Colorado as of June 2026, with employment types broken down into 1% As Needed, 48% Full Time, 46% Part Time, 1% Temporary, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

CFO (Chief Financial Officer) - Skilled Nursing Facility

Supplied Talent

Denver, CO

$120K - $180K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago

Job description

A skilled nursing and rehabilitation provider is seeking a Chief Financial Officer to own

the full financial operation of the facility. This is a hands-on executive role: the CFO leads accounting, reimbursement,

and billing operations while serving as the operational partner to facility leadership on census, payer mix, and margin

performance.

The employer is not identified in this posting. Candidate identity and employer identity will be protected throughout the

process, and no candidate materials are released without prior written consent.

REPORTING & SCOPE

Reports to: Facility Administrator / Director of Operations

Direct reports: Business office and accounting staff, including accounts receivable, accounts payable, and payroll

Location: Grand Junction, Colorado - on-site

Employment type: Full-time, exempt

CORE RESPONSIBILITIES

Financial Leadership

 Own the facility's financial operation end to end, including monthly close, financial statement preparation, and

management reporting.

 Prepare and present monthly profit and loss statements, balance sheets, and variance analysis to facility and

corporate leadership.

 Deliver financial analysis that drives operating decisions - census trends, payer mix, cost per patient day, labor

and agency spend, and departmental productivity.

 Build and manage the annual operating budget; monitor performance against budget and flag variances early.

 Partner with the Administrator on strategic planning, capital planning, and cash flow forecasting.

Reimbursement & Cost Reporting

 Prepare, review, and file the annual Medicare and Medicaid cost reports; maintain supporting cost logs and

documentation throughout the year.

 Serve as the facility's subject matter expert on Medicare, Medicaid, VA, managed care, and private pay

reimbursement.

 Ensure all forms and documentation required for correct reimbursement are accurately completed and submitted

timely.

 Coordinate and respond to regulatory audits, lender reporting requirements, and external audit requests.

Revenue Cycle & Billing

 Oversee resident billing across all payer types - Medicare, Medicaid, VA, managed care, and private pay.

 Produce and act on the monthly aging accounts report; drive collections and reduce days in AR.

 Ensure accuracy and timeliness of accounts receivable, accounts payable, and payroll functions.

 Post billing, charge slips, adjustments, and collections to the proper ledgers; ensure all ledgers reconcile to control

sheets and supporting journals.

 Maintain resident trust accounts, petty cash, and all other facility accounts in compliance with state and federal

regulation.

Team & Operations

 Supervise, develop, and hold accountable the accounting and business office team. Develop and maintain policies and procedures governing business office and accounting functions.

 Serve on facility committees as required by statute, regulation, or leadership request, including quality assurance.

 Maintain strict confidentiality of resident, employee, and financial information at all times.

REQUIRED QUALIFICATIONS

 Bachelor's degree in accounting or finance; equivalent professional experience will be considered.

 Minimum five (5) years of progressive accounting or finance experience, including supervisory or director-level

responsibility.

 Healthcare finance experience required; skilled nursing, long-term care, or post-acute experience strongly

preferred.

 Working knowledge of Medicare, Medicaid, VA, and private pay billing and reimbursement in a healthcare

setting.

 Proficiency in QuickBooks and strong general ledger and financial reporting skills.

 Demonstrated experience with monthly financial reporting, financial analysis, and accounts receivable and

accounts payable management.

 Advanced proficiency in Microsoft Excel.

PREFERRED QUALIFICATIONS

 CPA designation, or an advanced degree in accounting or business (MBA).

 Direct experience preparing or filing Medicare and Medicaid cost reports.

 Familiarity with Colorado Medicaid and state supplemental payment programs.

 Experience with PointClickCare, MatrixCare, or comparable long-term care platforms.

ATTRIBUTES FOR SUCCESS

 Comfortable operating as both a strategic financial partner and a hands-on operator in a single-site environment.

 Clear, calm communicator with residents, families, staff, regulators, and lenders.

 Organized and self-directed, with the judgment to prioritize under competing deadlines.

 Committed to the mission of a resident-centered care environment.

COMPENSATION & BENEFITS

Annual base salary range: $120,000 - $180,000. Placement within the range depends on experience, credentials, and

depth of skilled nursing reimbursement background.

The employer offers a benefits package that includes medical, dental, and vision coverage, paid time off, and a

retirement savings plan. Full benefit details will be provided during the interview process. Relocation assistance may be

available for the right candidate.

WORK ENVIRONMENT & PHYSICAL REQUIREMENTS

This is an office-based role within an active skilled nursing facility.

 Primarily sedentary work performed in an office setting, with regular movement throughout the facility.

 Regular use of a computer, telephone, and standard office equipment.

 Frequent verbal communication with residents, families, staff, and external partners, at times in emotionally

sensitive circumstances.

 Occasional lifting of office materials up to twenty (20) pounds.

 Reasonable accommodations will be made to enable individuals with disabilities to perform the essential

functions of this position.

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