Manager, Coding Quality & RADV Audits

Key Responsibilities:

• Provide strategic vision, leadership, and operational oversight for CMS-mandated RADV audits.
• Establish priorities, balance workloads, and drive process improvement for coding quality.
• Foster partnerships across business, clinical, compliance, and technology teams.

Qualifications:

• Minimum 7 years experience in risk adjustment programs and 3 years in management.
• Coding certification (CPC, COC, CRC, CCS, or CCS-P) required.
• Strong knowledge of healthcare payer operations and CMS regulations.

Why Join HealthEdge:

• Be part of a growing company shaping the future of healthcare technology.
• Work remotely with a focus on employee development and collaboration.
• Competitive compensation and the opportunity to lead impactful regulatory initiatives.