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Senior Risk Adjustment Auditor Jobs in Virginia (NOW HIRING)

Senior Internal Auditor

Chesapeake, VA · On-site

$82K - $102K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

Senior Internal Auditor Your attention to detail and critical thinking along with your strong ... Develop key planning deliverables for operational audits including the scope memo, risk and ...

Senior Internal Auditor

Chesapeake, VA · On-site

$82K - $102K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

Senior Internal Auditor Your attention to detail and critical thinking along with your strong ... Develop key planning deliverables for operational audits including the scope memo, risk and ...

Senior Internal Auditor

Smithfield, VA · On-site

$78K - $97K/yr

As a senior internal auditor, you will support the execution of our annual risk assessment and audit planning processes, participate in financial, operational, & compliance audits, test the Company ...

As a senior internal auditor, you will support the execution of our annual risk assessment and audit planning processes, participate in financial, operational, & compliance audits, test the Company ...

Senior Internal Auditor

Smithfield, VA · On-site

$78K - $97K/yr

As a senior internal auditor, you will support the execution of our annual risk assessment and audit planning processes, participate in financial, operational, & compliance audits, test the Company ...

Senior IT Internal Auditor

Richmond, VA · Hybrid

$83K - $103K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

The Senior IT Internal Auditor supports the organization's Sarbanes-Oxley (SOX) compliance program and contributes to risk-based internal audit and advisory engagements. This role is responsible for ...

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 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 Staff Auditor, Finance (Hybrid)

Capital One

Mclean, VA • On-site

$81K - $100K/yr

Full-time

Re-posted 11 days ago


Capital One rating

7.7

Company rating: 7.7 out of 10

Based on 147 frontline employees who took The Breakroom Quiz

93rd of 171 rated banks


Job description

Senior Staff Auditor, Finance (Hybrid)

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 professionals are experienced, well-trained and credentialed, and operate within a collaborative, agile environment to deliver value-added opinions and recommendations. Audit's vision to provide high value, independent, proactive insights, to innovate with technology, and to be a top-notch talent destination, creates a dynamic and challenging atmosphere for both personal growth and professional opportunity.

Capital One is seeking an energetic, self-motivated Associate Auditor interested in becoming part of our Finance Audit team. As a member of the Audit team, the candidate will focus on audits of Global Finance and Corporate Treasury processes in the Second Line of Defense, and First Line Business Risk Offices.

Responsibilities:

  • Audit major components of business units.

  • Assist in developing engagement planning documentation for assigned areas, including risk-based rationale for scoping decisions.

  • Design and execute internal control testing for operations of varying complexity.

  • Perform audit tasks of moderate difficulty, demonstrating a degree of audit expertise consistent with experience level.

  • Prepare clear, organized and complete documentation to support work performed.

  • Establish and maintain good client and team relations during engagements. Effectively communicate information and audit progress to team, clients and auditor-in-charge.

  • Perform various aspects of engagement administration as assigned by auditor-in-charge, including hours and budget tracking.

  • Self prioritize and effectively plan own work activities managing multiple priorities and tasks across the team to deliver quality results. Proactively take on additional work to support the team when possible.

Here's what we're looking for in an ideal teammate:

  • You are a critical thinker who seeks to understand the business and its control environment.

  • You believe insight and objectivity are core elements to providing assurance on the effectiveness and efficiency of Capital One's governance, risk management, and internal control processes.

  • You possess a relentless focus on quality and timeliness.

  • You adapt to change, embrace bold ideas, and are intellectually curious. You like to ask questions, test assumptions, and challenge conventional thinking.

  • You develop influential relationships based upon shared risk objectives and trust to deliver outstanding business impact and elevate Audit's value proposition.

  • You're a firm believer that a rich understanding of data, innovation, and technology will only make you a better auditor. This will require leveraging the power of data analytics and furthering your technical expertise.

  • You're a teacher. You do the right thing and lead by example. You have a passion for coaching and investing in the betterment of your team. You lead through change with candor and optimism.

  • You create energy and an environment that fosters trust, collaboration, and belonging, making it easy to attract, hire, and retain top talent.

Basic Qualifications:

  • Bachelor's Degree or military experience

  • At least 2 years of experience in auditing, in treasury, in accounting, in financial analysis, in compliance, or a combination.

Preferred Qualifications:

  • Bachelor's Degree in Accounting, Bachelor's Degree in Finance, Bachelor's Degree in Economics, or Bachelor's of Business Administration

  • Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Chartered Financial Analyst (CFA), Certified Risk Manager (CRM), Financial Risk Manager (FRM), or Credit Risk Certification (CRC)

  • 2+ years of experience in banking, in the financial services industry, in a professional services firm serving clients in large banks, or a combination

  • 2+ years of experience performing data analysis in support of internal auditing

At this time, Capital One will not sponsor a new applicant for employment authorization for this position.

This role is hybrid meaning associates typically spend 3 days per week in-person at one of our offices listed on this job posting.

The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.

McLean, VA: $96,500 - $110,100 for Senior Staff Auditor


New York, NY: $105,300 - $120,100 for Senior Staff Auditor


Plano, TX: $87,700 - $100,100 for Senior Staff Auditor


Richmond, VA: $87,700 - $100,100 for Senior Staff Auditor


Riverwoods, IL: $87,700 - $100,100 for Senior Staff Auditor







Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate's offer letter.

This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.

Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at theCapital One Careers website. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.

This role is expected to accept applications for a minimum of 5 business days.No agencies please. Capital One is an equal opportunity employer (EOE, including disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance Act; Philadelphia's Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.

If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at RecruitingAccommodation@capitalone.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.

For technical support or questions about Capital One's recruiting process, please send an email to Careers@capitalone.com

Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.

Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).


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