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Senior Risk Adjustment Auditor Jobs in Virginia (NOW HIRING)

Senior Auditor - Risk Management

Richmond, VA · On-site

$80K - $98K/yr

Senior Auditor - Risk Management Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance services to the organization's Audit Committee. Audit ...

SC&H's Risk Practice is seeking a Senior Manager to lead and grow our service line with a strong ... Experience coordinating with external auditors and working in regulated industries (SaaS, fintech ...

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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.

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 Virginia?

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

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

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

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

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

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

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

Senior Risk Manager, Dangerous Good Transportation, DG Air & Ship Svcs

Amazon

Arlington, VA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago


Amazon rating

7.4

Company rating: 7.4 out of 10

Based on 7,096 frontline employees who took The Breakroom Quiz

6th of 39 rated national retailers


Job description

The Global Solutions for Analytics, Risk, & Compliance (GSARC) team is seeking a motivated Sr. Risk Manager with DG experience across multiple transportation modes, regulatory compliance expertise, analytical and communication capabilities, and a hands-on passion to dive-deep into processes to enable Amazon's growth in a safe environment for customers, partners, and associates.
The Sr. Risk Manager will be responsible for establishing the regulatory framework and operational controls necessary to safely handle DG shipments across air, ground, and ocean freight lanes, ensuring adherence to IATA, IMDG, DOT, and other relevant regulatory requirements. The role requires developing country-specific compliance standards across multiple countries, including the United States, European Union, United Kingdom, and Japan, implementing technology controls, coordinating carrier protocols, and deploying comprehensive training programs.
This role will represent DG risk management programs to internal and external stakeholders alongside building relationships with key stakeholders, including regulators, and business partners to promote and advocate Amazon's commitment to safety excellence across the Global Mile network.
The successful candidate will possess the ability to work across senior levels of leadership in multiple organizations to align on standards and proposed controls, as well as deliver at a high bar for quality. The Sr. Risk Manager will demonstrate excellent judgment, communication skills, instincts in decision-making and proactively and continually improve their level of knowledge about Amazon's business and relevant technologies.
This position will be required to work onsite, and international travel will be required.
Key job responsibilities
- Create DG enablement roadmaps and business requirements for new product launches across different transportation modes, proactively engaging with business partners to provide support aligned with their expansion goals
- Maintain subject matter expertise and current industry knowledge to advise senior leadership on emerging trends and regulatory requirements that could impact the business strategic roadmap across all transportation modes
- Work with Legal partners to conduct regulatory assessments across multiple countries for international DG transportation and develop country-specific hazmat requirements and documentation standards
- Develop operational procedures to ensure safe and compliant transportation of DG
- Create and deploy function-specific training materials for operations teams across different transportation modes
- Define DG performance frameworks and monitoring dashboards applicable to multi-modal transportation
- Conduct site-specific assessments when required across various facility types
- Support launch readiness activities across all sites and provide ongoing operational support and compliance auditing post-launch
A day in the life
Working independently and autonomously, analyzing data to ensure adherence with internal DG policy as well as external regulations while developing strategic expansion roadmaps across multiple transportation modes. Risk assessing DG controls within the transportation network, presenting performance to key stakeholders to maintain safe and compliant shipments. Collaborating with business enablement partners reviewing and approving business expansion initiatives.
About the team
The GSARC DG Compliance team ensures the safety of our customers, associates and carrier partners by delivering innovative solutions to ensure DG compliance, redefining industry best practices and standards, and safely enabling an ever-changing borderless business model.
BASIC QUALIFICATIONS
- 5+ years of compliance, audit or risk management experience
- 5+ years of program or project Management experience
- Knowledge of Microsoft Office products and applications at an advanced level
- Bachelor's degree or equivalent
- Experience in verbal and written communication for executive level leaders
- IMDG, 49CFR, ICAO/IATA, or region specific accreditation
PREFERRED QUALIFICATIONS
- Experience leveraging technology and implementing lean principles / Six Sigma methodologies to drive process improvements or equivalent
- Master's degree or equivalent
- Knowledge of SQL and data warehousing concepts
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.
USA, AZ, Tempe - 121,200.00 - 163,900.00 USD annually
USA, IL, Chicago - 121,200.00 - 163,900.00 USD annually
USA, NY, New York - 133,300.00 - 185,000.00 USD annually
USA, TN, Nashville - 109,000.00 - 155,400.00 USD annually
USA, TX, Austin - 121,200.00 - 163,900.00 USD annually
USA, TX, Houston - 121,200.00 - 163,900.00 USD annually
USA, VA, Arlington - 121,200.00 - 163,900.00 USD annually
USA, WA, Bellevue - 121,200.00 - 163,900.00 USD annually

What Amazon employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


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About Amazon

Sourced by ZipRecruiter

Amazon.com, Inc., commonly known as Amazon, is an American multinational technology company. It was founded by Jeff Bezos in 1994 and initially started as an online marketplace for books. Since then, Amazon has expanded its operations and become one of the largest e-commerce companies in the world. Amazon's primary business is its online retail platform, where customers can purchase a vast array of products, including electronics, clothing, books, home goods, and much more. The company offers a convenient and user-friendly shopping experience, with features such as fast shipping, customer reviews, and personalized recommendations. In addition to its e-commerce platform, Amazon has diversified its business into various other areas. One of its notable ventures is Amazon Web Services (AWS), a comprehensive cloud computing platform that provides services such as storage, compute power, and database management to individuals and businesses. AWS has become a leader in the cloud computing industry, powering many websites and applications worldwide. Amazon has also developed its own consumer electronics, including the popular Amazon Kindle e-reader, Fire tablets, Fire TV streaming devices, and the Alexa-powered Echo smart speakers. The Alexa voice assistant, integrated into these devices, allows users to interact with their devices using voice commands, perform tasks, and access information. Furthermore, Amazon has expanded into media and entertainment. It operates Prime Video, a streaming service that offers a wide range of movies, TV shows, and original content. Amazon Music provides a platform for streaming and purchasing digital music, while Audible offers audiobooks and other audio content. The company's commitment to customer satisfaction and convenience is demonstrated by its membership program, Amazon Prime. Prime members receive various benefits, including free two-day shipping, access to streaming services, exclusive deals, and more.

Industry

It services, book publishers, retail, real estate and computer and electronic product manufacturing

Company size

10,000+ Employees

Headquarters location

Seattle, WA, US