1

Senior Risk Adjustment Auditor Jobs in Washington

Senior Auditor

Washington, DC ยท On-site

$80 - $110/hr

Overview Senior Auditor Our professionals help organizations make the best use of their internal ... We support risk management and internal control structures with strategic sourcing services ...

Senior Auditor

Washington, DC ยท On-site

$91K - $112K/yr

Senior Auditor Our professionals help organizations make the best use of their internal audit ... We support risk management and internal control structures with strategic sourcing services ...

Senior IT Auditor

Mclean, VA ยท On-site

$95K - $124K/yr

Senior IT Auditor Responsibilities include conducting reviews of general support system controls ... risk/impacts in order to take the appropriate course of action to eliminate or manage the ...

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 Washington?

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

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

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

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

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

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

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

Infographic showing various Senior Risk Adjustment Auditor job openings in Washington as of July 2026, with employment types broken down into 100% Full Time. Highlights an 68% In-person, 9% Hybrid, and 23% Remote job distribution.

Senior Manager, Risk Management

HITT Contracting

Falls Church, VA โ€ข On-site

Other

Medical, Dental, Vision, Retirement

Re-posted 18 days ago


Job description

Every day, our team members do amazing things in pursuit of our shared purpose to build trust with our clients, partners, subcontractors, and teammates. No matter your background, education, or career path, if you share our vision to create extraordinary experiences, you belong at HITT. Senior Manager, Risk Management Job Description: The Senior Manager, Insurance & Risk Management is a subject matter expert responsible for leading the Insurance & Risk Management function across HITTโ€™s family of operating companies. This role provides strategic vision and hands-on oversight for all insurance and risk management functions, with deep expertise in property & casualty (P&C) insurance, subcontractor default insurance (SDI), and surety. The Senior Manager manages and optimizes enterprise-wide insurance programs including commercial property casualty as well as risk financing and captive insurance; oversees contractual risk transfer initiatives; and drives departmental initiatives. Reporting directly to the Vice President, Insurance & Risk Management, this role serves as a strategic business partner to both corporate and operational leadership across the organization. The ideal candidate brings broad P&C expertise with strong construction industry acumen, is comfortable leading technical discussions with carriers, brokers, and legal counsel, and is a passionate advocate for sound risk management. This role demands sharp analytical skills, excellent communication skills, and a high degree of ownership and accountability. This role manages a team of insurance professionals and contributes to the organization as a subject-matter expert. Responsibilities Insurance Program Management Maintain and optimize enterprise-wide P&C insurance programs including general liability, workersโ€™ compensation, auto, property, umbrella, professional liability, pollution liability, cyber, management liability, and builderโ€™s risk across all HITT operating companies (general contracting, self-perform construction, manufacturing, and logistics). Lead the annual insurance renewal process, including market negotiations, coverage analysis and enhancements, and program design. Negotiate terms and pricing with carriers and brokers to optimize coverage and cost-effectiveness. Manage and optimize relationships with insurance carriers, brokers, loss control consultants, and legal counsel. Surety Oversee and manage surety bonding programs and relationships. Develop and maintain broker and surety relationships to support bonding capacity and terms aligned with HITTโ€™s project pipeline. Captive Management Serve as liaison with the organization's captive manager, overseeing day-to-day administration, ensuring timely completion of regulatory filings, financial reporting, and compliance requirements across all licensed jurisdictions. Coordinate annual captive renewal process with the captive manager, including actuarial studies, feasibility analyses, loss reserve reviews, and premium calculations, while monitoring captive performance against funding and risk retention goals. Collaborate with the captive manager, auditors, and regulators to support annual audits, board meetings, and strategic planning initiatives, providing recommendations on captive structure, coverage lines, and capital adequacy. Risk Management Strategy & Governance Develop and implement comprehensive, enterprise-wide risk mitigation strategies across diverse operational environments. Establish and enforce risk management policies, procedures, and processes; advocate for organization-wide engagement in risk management activities. Review, interpret, and advise on construction contract insurance and surety requirements. Collaborate with operations, safety leadership, and other departments on risk management and emergency response matters. Serve as insurance and surety strategic liaison to all operating companies. Financial Management & Reporting Manage the departmental budget and control insurance program costs. Execute financial modeling, reconciliation, and reporting for all insurance programs. Develop and implement strategies, policies, and procedures for insurance cost recovery. Oversee internal insurance and risk management reporting for HITT and captive insurance company. Analyze claims trends to identify root causes, implement corrective actions, and provide periodic reporting to leadership. Provide periodic reporting to the Board of Directors on risk management trends and program performance. Qualifications Education Bachelorโ€™s degree in Risk Management, Business, Finance, Economics, Safety, or a related field preferred; equivalent work experience accepted in lieu of degree. Professional designations (CPCU, ARM, CRM) and/or active P&C license preferred. Experience 7+ years of progressive insurance and risk management experience, with specific expertise in construction, manufacturing, or logistics industries. Demonstrated expertise in property & casualty insurance program design, placement, and management. Proven experience with surety bonding programs and carrier/broker relationship management. Experience with loss-sensitive and fronted casualty insurance programs. Familiarity with liability, property, and workersโ€™ compensation claims handling practices. Skills & Competencies Ability to read, interpret, and apply complex insurance policy language. Comfortable with construction contract insurance requirements, surety review, interpretation, and drafting. Strong data analytics skills; proficiency in Microsoft Excel, including large data set management, charting, and drawing actionable conclusions. Exceptional written and verbal communication skills, with the ability to distill complex insurance concepts for varied audiences, including executive leadership. Project management mindset: able to manage multiple concurrent projects, teams, deliverables, and deadlines. Solution-focused critical thinker who considers varied perspectives and drives decisions with accountability and ownership. Strong organizational and analytical skills with a keen eye for detail. Location This role is based at HITTโ€™s headquarters in Falls Church, VA and reports in-office a minimum of four (4) days per week. In accordance with Virginia Senate Bill 215 (SB 215), the base salary range for this position is: $115,000.00 - $165,000.00 Compensation in other cities and states may vary. HITT Contracting offers a competitive total benefits and compensation package including performance-based bonuses, premium health care coverage including vision and dental, employer-matched 401(k), wellness reimbursement program, paid holidays and time-off, and other voluntary benefits and leave types. The determination of salary is based on the candidateโ€™s individual professional experience, qualifications, education, skills, and training. HITT Contracting is an equal opportunity employer. We are committed to hiring and developing the most qualified individuals based on job-related experience, skills, and merit. All employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic. We value a respectful, inclusive workplace where everyone has the opportunity to succeed. HITT Contracting maintains a drug-free workplace, consistent with applicable local, state, and federal laws.