{"id":1196608,"url":"https://alion.io/job/mosaic-health-supervisor-risk-adjustment-coding-1","title":"Supervisor, Risk Adjustment Coding-1","company":{"id":2681556,"name":"Mosaic Health","domain":"mosaichealth.com","url":"https://alion.io/company/mosaic-health","size_band":null,"is_staffing_agency":false,"is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Industrial Engineering","role_family":"Industrial Engineering","seniority":"junior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":63982,"max":95972,"currency":"USD","period":"year","gross":null,"usd_annual":95972},"salary_estimate":null,"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-08-31T00:00:00Z","employer_posted_date":"2026-08-31","last_verified_at":"2026-09-24T18:49:38Z","board_verified":true,"closed_at":null,"days_open":24,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":24},"description":"Job Description Summary\n\nUnder the direction of the Risk Adjustment Manager, the Risk Adjustment Supervisor is responsible for providing first-line supervision for the Risk Adjustment Coding Specialist. Supervisor responsibilities include but are not limited to daily supervision and monitoring of quality and productivity performance, interviewing, hiring, and any necessary discipline of staff.This position supervises risk adjustment coding and quality assurance validation for the following programs, including but not limited to:\nProspective medical record review\nConcurrent outpatient claim diagnosis coding\n• Retrospective medical record and provider response reviews\n\nHow will you make an impact & Requirements\n\nResponsibilities\nSubject matter expert for proper risk adjustment coding and CMS data validation\nProvides daily supervision of department staff and provides feedback to the Risk Adjustment Manager on exceptional and/or substandard performance.\nSupport Manager in efforts associated with hiring, interviewing, onboarding, and recognition and discipline of staff.\nServes as a preceptor to new employees during the orientation process. Functions as a resource to existing staff for projects and daily work. Facilitates ongoing training for optimal staff functioning.\nConduct audits of Risk Adjustment Coding Specialist work to validate the accuracy and completeness of diagnosis suspects, claim submission, and/or retrospective reviews identifying and resolving any discrepancies or areas for improvement.\nProvides ongoing feedback to staff on areas of success and improvement opportunities.\nEnsures that all members of the team are following official guidelines, policies, and standard procedures.\nCounsels staff on actions required to meet minimum performance requirements.\nProvides or arranges for necessary knowledge-based resources required by the department staff to meet quality and production standards.\nPrepares staffing schedules to provide adequate coverage for all bodies of work.\nStay updated on changes to Medicare guidelines, coding regulations, and reimbursement methodologies to ensure compliance and accuracy in coding practices.\nDevelop and lead coding education and training initiatives for staff to promote consistent and accurate coding practices across the organization.\nResearch best practices in risk adjustment coding and reviews the professional literature for coding updates, maintaining currency in coding. Evaluates, researches, and recommends enhancements to the risk adjustment program and internal coding guidelines.\nDevelops and helps implement new workflows and policies and procedures as needed to support new and existing department initiatives, audits, and projects.\nLead workgroups and manage project deliverables for department initiatives, audits, and provider communications.\nAnalyze MRA data to identify patterns and when requested assist in the development of interventions at the provider and region level.\nKeeps department Manager apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success.\nQualifications\nHigh school diploma or GED equivalent\nCurrent active coding credential through AAPC or AHIMA required. **Preference given to those with CRC designation.\nMinimum of two (2) years coding experience directly related to Hierarchical Condition Category (HCC) coding.\nMinimum of one (1) year experience in a lead/senior role\nAdvanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.\nExtensive knowledge of coding conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care reimbursement systems. This includes a comprehensive understanding of ICD-10-CM.\nAdvanced skills for use of MS Office (Excel, Word, Access, and PowerPoint).\nDemonstrated ability to utilize a variety of electronic medical records systems.\nAbility to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision. Strong time management skills. Must possess high degree of accuracy, efficiency, and dependability.\nDemonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization both verbally and written.\nDemonstrated organizational and problem-solving ability.\nDemonstrated experience in project completion, educational program development and/or group presentation.\nCommitment to maintaining confidentiality and adhering to ethical coding standards.\nPhysical Demands\nSedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help.\nEqual Employment Opportunity\nMPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race, color, sex (including pregnancy), genetic information, sexual orientation, religion, physical or mental disability, age, military or veteran status, marital status, familial status, national origin, or any other legally protected class.\nEqual opportunity applies to all areas of the employment relationship, including hiring, promotions, training, terminations, working conditions, pay, and other terms and conditions of employment.\nMillennium Physician Group (MPG) is committed to the full inclusion of all qualified individuals. In keeping with our commitment, MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, contact .\n\nCompensation Range:\n$63,982.00to\n$95,972.00The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.","description_format":"text","description_chars":6673,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["Equity"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-09-24T18:49:38Z"}],"liveness":{"score":24,"band":"cold","label":"Long shot","p_open":1,"p_active":0.531,"p_room":0.45,"age_days":24,"expected_fill_days":14,"reasons":["conf:4","win:tail","comp:junior"],"computed_at":"2026-09-24T23:37:31Z"},"pay":{"stated_usd_annual":95972,"is_top_pay":true},"html_url":"https://alion.io/job/mosaic-health-supervisor-risk-adjustment-coding-1","json_url":"https://alion.io/job/mosaic-health-supervisor-risk-adjustment-coding-1.json","meta":{"generated_at":"2026-09-24T23:37:31Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":1821,"day_limit":5000,"remaining_today":3179,"minute_limit":60,"resets_at":"2026-09-25T00:00:00Z"}}}