Risk Adjustment Coding Manager: Lead, Quality & Compliance

Mosaic Health, LLC.; Indiana (PA); On-site; USD 85,000 - 128,000; Full time

Job summary

Millennium Physician Group (MPG) is seeking an experienced Risk Adjustment Manager to lead the MRA Team Supervisors and drive CMS data validation and HCC coding initiatives. The role collaborates across departments to optimize chronic condition reviews, provider engagement, education, and documentation compliance.

You will guide workflow improvements and ensure accurate coding to improve patient outcomes and reduce costs.

Qualifications

• Bachelor’s degree or 3 years of equivalent related work experience.
• Current active coding credential through AAPC or AHIMA required.
• Preference given to CRC designation.
• Minimum of three (3) years coding experience directly related to Hierarchical Condition Category (HCC) coding.
• Minimum of two (2) year experience in a lead/senior role.
• Advanced knowledge of medical terminology, anatomy and physiology, major disease processes, and pharmacology.
• Advanced MS Office skills (Excel, Word, Access, PowerPoint).
• Experience with multiple EMR systems and ability to manage workload under deadlines.

Responsibilities

• Subject matter expert for proper risk adjustment coding and CMS data validation.
• Provides daily management of department staff and feedback to Director on performance.
• Oversees hiring, onboarding, and staff development processes.
• Develops provider performance measures through data reviews and analysis.
• Ensures adherence to official guidelines, policies, and standard procedures.
• Leads coding education and training initiatives for staff.
• Identifies risks and develops workflows to support initiatives and audits.

Job description

Millennium Physician Group (MPG) is seeking an experienced Risk Adjustment Manager to lead the MRA Team Supervisors and drive CMS data validation and HCC coding initiatives. The role collaborates across departments to optimize chronic condition reviews, provider engagement, education, and documentation compliance.

You will guide workflow improvements and ensure accurate coding to improve patient outcomes and reduce costs.