Risk Adjustment Supervisor

Risk Adjustment Coding Supervisor (RADV Audit Project) Location: Remote Duration: Contract (May – September/October, with possible extension) Project Overview Our client, is preparing for a large-scale Risk Adjustment Data Validation (RADV) audit initiative driven by the Centers for Medicare & Medicaid Services (CMS). With multiple contracts selected for audit, this effort will require a high-performing team to ensure coding accuracy, compliance, and audit readiness. We are seeking experienced Risk Adjustment Coding Supervisors to lead teams of coders in a fast-paced, high-impact environment. This role is critical to ensuring audit success through strong leadership, training, and quality oversight. Position Summary The Risk Adjustment Coding Supervisor will oversee a team of Risk Adjustment Coders supporting RADV audit activities. This individual will be responsible for ensuring coding accuracy, managing quality assurance processes, and driving team performance in alignment with CMS guidelines and client standards. This role will also play a key part in implementing a train-the-trainer model , enabling scalable onboarding and consistent knowledge transfer across the coding team. Key Responsibilities Supervise and support a team of ~10 Risk Adjustment Coders Monitor coder productivity, accuracy, and overall quality performance Ensure adherence to CMS RADV guidelines and HCC coding standards Lead coding quality audits and validation processes Provide ongoing coaching, mentorship, and performance feedback Identify performance gaps and implement improvement plans as needed Support audit readiness and respond to external auditor requests Develop and maintain coding policies, procedures, and training materials Partner with compliance and payment integrity teams Track and report team performance metrics to leadership Training & Leadership Focus Implement and support a train-the-trainer model Train designated lead coders to assist with onboarding and team education Ensure consistency and effectiveness of training across the team Qualifications Required: 5+ years of experience in Risk Adjustment coding (HCC) Prior experience supporting RADV audits 2+ years of leadership experience (Supervisor, Manager, or Lead) Strong knowledge of CMS guidelines and risk adjustment methodologies Proven ability to manage coding accuracy and quality metrics (target: 95%+) Experience with coding audits, compliance, and documentation review Preferred: CRC (Certified Risk Adjustment Coder) or similar certification Experience in a payer/health plan environment Experience implementing training programs or leading onboarding initiatives Project Timeline Start Date: Early May (Supervisory onboarding) Training Period: 2–3 weeks Coder Ramp-Up: Late May / Early June Project Duration: Through September/October (potential extension) What Success Looks Like Maintain team coding accuracy at or above 95% Effectively onboard and scale coding teams through training initiatives Ensure compliance with CMS RADV standards Deliver consistent, high-quality audit outcomes Additional Details Equipment will be provided Fully remote opportunity High-visibility project with significant organizational impact Why Join This Project? Be part of a large-scale CMS-driven audit initiative Lead and influence a high-performing coding team Work in a fast-paced, results-driven environment Opportunity for contract extension based on performance