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Senior Risk Adjustment Auditor Jobs in Iowa (NOW HIRING)

Iowa State University

Senior Auditor

Iowa City, IA · Hybrid

$70K/yr

The Iowa Board of Regents is seeking a full-time (100%) Senior Auditor (Professional & Scientific ... areas of process risk and recommends specific steps for improvement; applies internal audit ...

Iowa State University

Senior Auditor

Iowa City, IA · On-site

$70K/yr

The Iowa Board of Regents is seeking a full-time (100%) Senior Auditor (Professional & Scientific ... areas of process risk and recommends specific steps for improvement; applies internal audit ...

HNI Corporation

Senior Internal Auditor

Davenport, IA · Hybrid

$70K - $87K/yr

We are adding a Senior Internal Auditor to our team. This person will work out of our corporate ... Think critically, prioritize efforts using a risk-based approach, and drive positive change in a ...

HNI Corporation

Senior Internal Auditor

Iowa City, IA · Hybrid

$73K - $91K/yr

We are adding a Senior Internal Auditor to our team. This person will work out of our corporate ... Think critically, prioritize efforts using a risk-based approach, and drive positive change in a ...

HNI Corporation

Senior Internal Auditor

Muscatine, IA · Hybrid

$79K - $98K/yr

We are adding a Senior Internal Auditor to our team. This person will work out of our corporate ... Think critically, prioritize efforts using a risk-based approach, and drive positive change in a ...

HNI Corporation

Senior Internal Auditor

Davenport, IA · Hybrid

$70K - $87K/yr

We are adding a Senior Internal Auditor to our team. This person will work out of our corporate ... Think critically, prioritize efforts using a risk-based approach, and drive positive change in a ...

HNI Corporation

Senior Internal Auditor

Iowa City, IA · Hybrid

$73K - $91K/yr

We are adding a Senior Internal Auditor to our team. This person will work out of our corporate ... Think critically, prioritize efforts using a risk-based approach, and drive positive change in a ...

HNI Corporation

Senior Internal Auditor

Muscatine, IA · Hybrid

$79K - $98K/yr

We are adding a Senior Internal Auditor to our team. This person will work out of our corporate ... Think critically, prioritize efforts using a risk-based approach, and drive positive change in a ...

HNI Corporation

Senior Internal Auditor

Muscatine, IA · On-site

$79K - $98K/yr

We are adding a Senior Internal Auditor to our team. This person will work out of our corporate ... Think critically, prioritize efforts using a risk-based approach, and drive positive change in a ...

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Senior Risk Adjustment Auditor information

What are Senior Risk Adjustment Auditors?

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.

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

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.

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 popular job titles related to Senior Risk Adjustment Auditor jobs in Iowa? For Senior Risk Adjustment Auditor jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Senior Risk Adjustment Auditor jobs in Iowa look for? The top searched job categories for Senior Risk Adjustment Auditor jobs in Iowa are:
What cities in Iowa are hiring for Senior Risk Adjustment Auditor jobs? Cities in Iowa with the most Senior Risk Adjustment Auditor job openings:
Senior Risk Adjustment Auditor jobs near you

Senior Auditor

Iowa State University

Iowa City, IA • Hybrid

$70K/yr

Full-time

Re-posted 9 days ago

Iowa State University rating

7.2

Company rating: 7.2 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

384th of 612 rated colleges and universities

Job description

The Iowa Board of Regents is seeking a full-time (100%) Senior Auditor (Professional & Scientific job classification) in the Office of Internal Audit. This position will work with complex accounting and financial data of various departments to ensure accuracy and compliance with university and government guidelines, policies, and regulations; researches identified issues thoroughly and makes recommendations to improve policies or procedures accordingly; plans and conducts a wide variety of complex internal audits by evaluating operational and business processes for appropriate internal controls; identifies areas of process risk and recommends specific steps for improvement; applies internal audit standards and policies to investigate and evaluate operations and activities; conducts follow-up review of audited areas and programs to ensure management has taken appropriate corrective actions; and provides direction and training to staff auditors.

The position will report up through to the Board's Chief Audit Executive, be located at the University of Iowa in Iowa City, Iowa, and be eligible for a hybrid work model.

About the Iowa Board of Regents

The Iowa Board of Regents is a group of nine citizens who govern three public educational institutions in the state through policymaking, coordination, and oversight, as provided by law. The institutions include Iowa's three public universities - the University of Iowa, Iowa State University, and the University of Northern Iowa.

About the Office of Internal Audit

The Office of Internal Audit is an independent, objective assurance and consulting activity designed to add value and improve an organization's operations. It helps an organization accomplish its objectives by bringing a systematic, disciplined approach to evaluate and improve the effectiveness of risk management, control, and governance processes. We partner with management to enhance and protect organizational value by providing an independent and objective assessment of operational efficiencies and controls.

Required Qualifications

  • A bachelor's degree in a business, accounting, or information technology field, or an equivalent combination of education and experience.

  • Minimum three years of applicable experience, with preference given to audit experience.

  • A certification in a related field: CPA, CIA, CMA, CISA

  • Advanced knowledge of audit procedures, specifically the ability to assess an organization's exposure to various risks and recommend controls to address these risks.

  • Sufficient knowledge and ability to utilize Microsoft Office products (Word, Excel, Outlook, etc.)

  • Ability to critically assess business policies, procedures, and practices.

  • Experience with data gathering and analysis tools, techniques, and processes.

  • Capable of establishing and executing projects to meet required deadlines.

  • Proficiency in professional verbal and written communication.


Desired Qualifications

  • Experience in information technology, financial, construction, compliance, or operational auditing.

  • Advanced proficiency in applying organizational acumen to identify and maintain focus on key success factors for the organization.

  • Experience in training new staff.

  • Knowledge of healthcare operational processes.


Salary Range:Minimum $70,000 to commensurate with experience.

Application Instructions
To apply for this position, please send a resume, cover letter, and three professional references to chad.sharp@iowaregents.edu

Appropriate background checks (e.g., criminal background and credential checks) will be conducted.

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