Responsibilities

The Risk Adjustment Compliance Professional 2 will assist in the development, implementation, and maintenance of compliance policies and procedures related to risk adjustments activities, including coding accuracy, encounter data submission, and chart review practices. They will conduct research on compliance issues, provide recommendations, and support ongoing monitoring and auditing activities to identify potential compliance risks and ensure timely remediation. This role will coordinate logistics for regulatory site visits, assist in tracking and follow-up of corrective action plans, and build working relationships with internal stakeholders while supporting external audit preparation efforts. Furthermore, the professional will demonstrate an understanding of departmental and organizational goals and how risk adjustment compliance supports broader business priorities, making decisions with established policies and procedures and seeking guidance when needed.