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Senior Risk Adjustment Auditor Jobs in Michigan (NOW HIRING)

Barton Malow

Sr. Director of Treasury

Southfield, MI

Lead interest rate and counterparty risk management; evaluate hedging strategies where appropriate ... auditors, and investment banks. QualificationsRequired * Bachelor's degree in Finance, Accounting ...

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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.

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?

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 the most commonly searched types of Risk Adjustment Auditor jobs in Michigan?

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

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

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

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

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

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

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

Senior Risk Adjustment Auditor jobs near you
Infographic showing various Senior Risk Adjustment Auditor job openings in Michigan as of August 2026, with employment types broken down into 100% Full Time. Highlights an 69% In-person, 8% Hybrid, and 23% Remote job distribution.

Director - Risk Management, Electronics

Lear Corporation

Southfield, MI • On-site

Full-time

Re-posted 14 days ago

Lear Corporation rating

7.3

Company rating: 7.3 out of 10

Based on 68 frontline employees who took The Breakroom Quiz

102nd of 157 rated electronics manufacturers

Job description

Lear For You
We work hard for the people who work for us. We champion our teams. We foster collaboration, inclusion, respect and excellence. What we are trying to say is we want to be more for you.
We are your path to a better career, a better future, and a better you.
Our teams have invented groundbreaking technologies, flawlessly manufactured millions of products and earned a long list of awards. Year after year, we are one of the World's Most Admired Companies.
Our teams are the secret to our success. They are empowered, inventive and inclusive. Passionate about their craft. Driven to succeed. Because we all understand that we must work together to win.
Are you ready for a better career? A better future?
We're Lear For You.
Director - Risk Management, Electronics
The Risk Management Lead will serve as a central leader in defining and driving a comprehensive risk management strategy across the Electronics business. This role will establish and maintain the Electronics segment-wide risk management process and policy, act as a repository of risk-related information including external risks, supplier / customer risk contractual terms. The leader will develop digital tools and decision frameworks that empower distributed program leadership to make informed, aligned decisions.
Responsibilities
  • Policy & Process Leadership: Define, interpret, and implement standardized risk management processes and policies applied to Electronics that align with business objectives and regulatory requirements.
  • Proactive Risk Planning: Enable the development of forward-looking risk mitigation plans tailored to individual program circumstances, grounded in centralized assessments.
  • Decision Enablement: Create scalable decision frameworks that allow program teams to act autonomously while staying aligned with centralized risk assessments and policies.
  • Cross-Functional Collaboration: Interface with sustainability, legal, compliance, purchasing, supply chain planning, and program teams to gather and synthesize risk intelligence relevant to the electronics business.
  • Customer & Program Support: Serve as a resource for program managers on complex or escalated risk topics and support customer-facing discussions as needed.
  • Strategic Framing: Support senior leadership by framing high-impact or complex decisions with clear risk-based analysis and recommendations.
  • Compliance Oversight: Monitor adherence to newly developed policies and processes, acting as an internal auditor and advisor to ensure consistent execution.
  • Digital Tool Development: Lead the design and deployment of digital solutions to identify, track, and mitigate risks across programs, suppliers, and customers.
  • This role will lead a small, agile team and requires a self-motivated individual with strong communication skills, operational knowledge, strategic thinking, and the ability to drive proactive initiatives. The ideal candidate will be a "connector" across functions, a builder of systems, and a champion of risk-informed decision making.

Experience Requirements
  • 7+ years of experience in risk management, compliance, program management, purchasing or a related business role.
  • The ideal candidate will be a "connector" across functions, a builder of systems, and a champion of risk-informed decision making.
  • Experience developing and implementing enterprise or segment-level risk management frameworks.
  • Strong background partnering across cross-functional teams in complex, matrixed organizations.
  • Proven ability to translate risk analysis into clear decision frameworks and executive-level recommendations.
  • Bachelor's degree in business, engineering, finance, or a related field, or equivalent experience.
  • Strong executive presence and ability to report out to senior company leaders on a regular basis

Lear Corporation is an Equal Opportunity Employer, committed to a diverse workplace.
Applicants must submit their resume for consideration using our applicant tracking system. Due to the high volume of applications received, only candidates selected for interviews will be contacted. Candidates must be legally authorized to work in the United States without sponsorship. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and will become the property of Lear Corporation.
Location Code: 0065

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