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Senior Risk Adjustment Auditor Jobs in Connecticut

Senior Auditor

New Haven, CT · On-site

$80 - $100/hr

... Auditor (CIA) or Certified Public Accountant (CPA). Familiarity with large or complex business ... risk management/governance processes. Required Skills and Abilities * Knowledge of accounting and ...

... and posts adjustments and/or reserves • Understands and reports P&L and MTM attributes and ... external auditors • Other duties as assigned Requirements: • Bachelor's degree in Finance ...

... and posts adjustments and/or reserves · Understands and reports P&L and MTM attributes and ... external auditors · Other duties as assigned Requirements: · Bachelor's degree in Finance ...

As a Senior IT Risk Officer at Munich Re, you will work at the intersection of technology, audit ... This role will work closely with IT teams, business stakeholders, internal and external auditors ...

As a Senior IT Risk Officer at Munich Re, you will work at the intersection of technology, audit ... This role will work closely with IT teams, business stakeholders, internal and external auditors ...

Senior Internal Auditor

Wilton, CT · On-site

$87K - $108K/yr

As a Senior Internal Auditor within LDC, you will be involved in high-profile & complex audits (e.g ... Develop strong relationships with business lines / Platforms and Functions (Industry, Finance, Risk ...

Senior Internal Auditor

Wilton, CT

$87K - $108K/yr

As a Senior Internal Auditor within LDC, you will be involved in high-profile & complex audits (e.g ... Develop strong relationships with business lines / Platforms and Functions (Industry, Finance, Risk ...

Senior Internal Auditor

Wilton, CT · On-site

$87K - $108K/yr

As a Senior Internal Auditor within LDC, you will be involved in high-profile & complex audits (e.g ... Develop strong relationships with business lines / Platforms and Functions (Industry, Finance, Risk ...

Showing results 21-40

Senior Risk Adjustment Auditor information

What is a senior risk adjustment auditor?

Senior Risk Adjustment Auditors are experienced professionals who review medical records and data to ensure accurate coding and documentation for risk adjustment purposes, primarily in healthcare settings. They help organizations comply with government regulations and maximize appropriate reimbursement by identifying and correcting coding errors or gaps. Their role involves analyzing patient data, collaborating with coding teams, and providing feedback or training to improve documentation practices. Senior auditors often have advanced knowledge of ICD-10-CM coding, risk adjustment models (such as HCC), and auditing standards. Their expertise helps healthcare organizations maintain compliance and optimize financial performance.

What are the key skills and qualifications needed to thrive as a senior risk adjustment auditor?

To thrive as a Senior Risk Adjustment Auditor, you need deep expertise in medical coding (ICD-10-CM), risk adjustment methodologies, and a background in healthcare compliance, typically supported by certifications such as CRC, CPC, or CCS-P. Familiarity with auditing platforms, data analysis tools, and electronic medical records systems is crucial. Exceptional attention to detail, analytical thinking, and strong communication skills help auditors identify discrepancies and effectively collaborate with providers. These competencies ensure accurate risk scoring, regulatory compliance, and optimal reimbursement for healthcare organizations.

How does a senior risk adjustment auditor typically collaborate with coding teams and healthcare providers to ensure accurate documentation and coding?

A Senior Risk Adjustment Auditor often works closely with medical coding teams and healthcare providers to review patient records for accuracy and compliance with risk adjustment guidelines. This collaboration may involve providing feedback on documentation quality, clarifying coding ambiguities, and offering training or guidance on best practices. Regular meetings and audits help ensure that everyone is aligned with current regulations and organizational standards. Effective communication and teamwork are essential to maintain high-quality, compliant coding that supports proper reimbursement and patient care.

What is the difference between Senior Risk Adjustment Auditor vs Risk Adjustment Auditor?

AspectSenior Risk Adjustment AuditorRisk Adjustment Auditor
CertificationsCPMA, RAC, or similarCPMA, RAC, or similar
Work EnvironmentHealthcare organizations, insurance companies, consulting firmsHealthcare providers, insurance companies, auditing firms
Job ResponsibilitiesLeading audits, mentoring, complex data analysisPerforming audits, data review, compliance checks

Both roles require similar certifications and work in healthcare or insurance settings. The Senior Risk Adjustment Auditor typically handles more complex audits, provides mentorship, and takes on leadership tasks, whereas the Risk Adjustment Auditor focuses on executing audits and data analysis. The senior role involves greater responsibility and expertise, often leading to career advancement in risk adjustment auditing.

What are the most commonly searched types of Risk Adjustment Auditor jobs in Connecticut?

The most popular types of Risk Adjustment Auditor jobs in Connecticut are:

What are popular job titles related to Senior Risk Adjustment Auditor jobs in Connecticut?

For Senior Risk Adjustment Auditor jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Senior Risk Adjustment Auditor jobs in Connecticut look for?

The top searched job categories for Senior Risk Adjustment Auditor jobs in Connecticut are:

What cities in Connecticut are hiring for Senior Risk Adjustment Auditor jobs?

Cities in Connecticut with the most Senior Risk Adjustment Auditor job openings:

Infographic showing various Senior Risk Adjustment Auditor job openings in Connecticut as of July 2026, with employment types broken down into 100% Full Time. Highlights an 76% In-person, 6% Hybrid, and 18% Remote job distribution.

$80 - $100/hr

Other

Posted 20 days ago


Job description

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!

Additional Education and Experience

Certification (or progress towards) as a Certified Internal Auditor (CIA) or Certified Public Accountant (CPA). Familiarity with large or complex business organizations. Knowledge of internal control frameworks (e.g., COSO, IIA’s International Professional Practices Framework).

Some internal/external audit or consulting experience and/or experience that demonstrates an understanding of internal controls, business operations, accounting and accounting principles, and risk management/governance processes.

Required Skills and Abilities
  1. Knowledge of accounting and audit principles and auditing techniques. Researches and understands the policies, rules, regulations, laws and statutes pertaining to their work assignments.
  2. Excellent verbal and written communication skills. Demonstrates solid communication and listening skills and an ability to identify gaps in logic and handle complex communication challenges individually.
  3. Keeps abreast of breaking developments in accounting, auditing, and the higher education sector and apply this knowledge in all their engagements with university clients.
  4. Demonstrates an ability to quickly collaborate and work effectively on concurrent work assignments and tasks with a diverse group of clients and team members to deliver the highest quality communications, work products, and client service.
  5. Demonstrates an ability to identify sensitive issues and proactively facilitate effective communication at various levels in the organization to avoid surprises. Displays good judgment and decision-making skills.
  6. Ensures adequate focus on professional growth relevant to taking on more challenging assignments and tasks beyond assigned audit engagements and standard work assignments.
  7. Acts as an ambassador of the department and university, consistently demonstrating a positive, can-do attitude.
Principal Responsibilities
  1. Works as part of a team to deliver audit, assurance, and investigative services in compliance with established Institute of Internal Auditors’ (IIA) standards and departmental policies.
  2. Monitors client’s progress on corrective actions and validating that corrective actions taken are mitigating risks identified in engagement.
  3. Supports University Audit and Advisory department operations through assisting with planning and monitoring of budget to actual hours for assigned projects.
  4. Discusses improvements to internal control systems with University managers.
  5. Maintains quality and proficient services by advancing personal knowledge, skills and other competencies through continuing professional development and attendance at formal training conferences and seminars.
  6. Contributes to the student internship program by providing work direction, training, and technical assistance to current interns.
  7. Participates in providing thought leadership to demonstrate and share internal control expertise across the university, within the department, and with peers.
  8. May conduct other special projects as assigned.
Required Education and Experience

Bachelor\'s degree and a minimum four years of experience, or an equivalent combination of education and experience.

Required License(s) or Certification(s)

Required License(s) or Certification(s):

Physical Requirements

Physical Requirements:

Job Posting Date

08/13/2026

Job Category

Professional

Bargaining Unit

NON

Compensation Grade

Administration & Operations

Compensation Grade Profile

Manager; Program Leader (24)

Salary Range

$68,000.00 - $120,500.00

Time Type

Full time

Duration Type

Staff

Work Model

Hybrid

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through the hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).

Note

Yale University is a tobacco-free campus.

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