Risk Adjustment Coding Lead & QA Supervisor

verawholehealth; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

verawholehealth is seeking a Risk Adjustment Supervisor to lead the Coding Specialist team under the Risk Adjustment Manager. You will supervise daily activities, monitor quality and productivity, and guide staff through audits and training.

The role includes prospective, concurrent, and retrospective coding reviews, ensuring CMS data validation and compliance with coding guidelines. Ideal candidates have an active AAPC or AHIMA credential, HCC coding experience, leadership experience, and

Qualifications

• High school diploma or GED equivalent.
• Active coding credential through AAPC or AHIMA required; CRC preferred.
• At least 2 years of coding experience in HCC coding.
• At least 1 year in a lead/senior role.
• Advanced knowledge of medical terminology, anatomy & physiology.
• Extensive knowledge of ICD-10-CM, coding conventions & payment rules.
• Advanced MS Office skills (Excel, Word, Access, PowerPoint).
• Experience with electronic medical records systems.
• Strong time management, accuracy, and dependability.
• Excellent verbal and written communication; able to work with diverse staff.
• Experience in project completion, educational program development & group presentations.
• Commitment to confidentiality and ethical coding standards.

Responsibilities

• Provide daily supervision of department staff and feedback to Risk Adjustment Manager.
• Assist in hiring, onboarding, recognition and discipline of staff.
• Act as preceptor during orientation and train staff.
• Conduct audits to validate accuracy of coding & reviews.
• Provide ongoing feedback on performance and opportunities.
• Ensure adherence to guidelines, policies and procedures.
• Develop staffing schedules to ensure adequate coverage.
• Stay updated on CMS guidelines and coding regulations.
• Lead coding education and training initiatives.
• Lead workgroups and manage project deliverables.
• Analyze MRA data to identify patterns and interventions.
• Provide status reports and identify risks early.

Skills

Communication

Leadership

Time management

Project management

MS Office

EMR systems

Education

High school diploma or GED

Tools

MS Office Suite

EMR systems

Job description

verawholehealth is seeking a Risk Adjustment Supervisor to lead the Coding Specialist team under the Risk Adjustment Manager. You will supervise daily activities, monitor quality and productivity, and guide staff through audits and training.

The role includes prospective, concurrent, and retrospective coding reviews, ensuring CMS data validation and compliance with coding guidelines. Ideal candidates have an active AAPC or AHIMA credential, HCC coding experience, leadership experience, and