Client Coding Project Manger (CCPM)

Role overview Oversee quality and compliance audits for risk-adjustment coding operations, including work performed by internal teams and external coding vendors. The role combines audit operations, coding expertise, reporting, and education to help maintain accurate, compliant work and improve processes over time.

Responsibilities - Monitor risk-adjustment operations and coding vendor performance, identifying quality or compliance concerns. - Conduct and support audits, ensuring workflows, findings, and outcomes are documented and retained. - Share audit results with leaders promptly and help ensure that appropriate corrective actions are implemented. - Educate quality staff, coders, vendors, and other colleagues through reports, presentations, and formal or informal training. - Help develop training on correct coding practices and support onboarding or training for auditors and staff. - Maintain quality-assurance processes, communicate program updates to management regularly, and recommend process improvements.

Requirements - At least five years of risk-adjustment coding experience across ACA and Medicare Advantage work; a relevant bachelor’s degree or three to five years of related experience is preferred as an alternative qualification in the listing. - Expert knowledge of risk adjustment coding and applicable compliance expectations. - At least one year of project-management experience. - Strong research, problem-solving, written communication, and presentation skills. - Proficiency with Microsoft and Google productivity tools, especially Excel. - Ability to work independently, meet deadlines, communicate tactfully with varied stakeholders, and maintain a strong focus on quality and process improvement. - Experience developing or monitoring policies, internal controls, or operating standards.

Benefits and work setup Benefits listed include health, dental, and vision coverage, paid time off and holidays, retirement savings, wellness programs, and career-development opportunities. Additional offerings may depend on location and role. The work may involve sitting or standing for the duration of a shift.