Risk Management Analyst

Snapshot: Finding a job that fits your lifestyle isn’t always easy. That’s where Kelly Professional & Industrial comes in. Kelly is seeking a Risk Adjustment Coding Auditor to support a Leading Healthcare client in Eagan, MN. Location: Eagan, MN Pay Rate: Starts at $35.00/HR Position Type: Contract – 11/16/26 to 4/2/27 with potential for conversion The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise. Requirements Evaluates risk adjustment codes to ensure accuracy, consistency and alignment with coding standards and best practices Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security and regulatory requirements. Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting Verifies and ensures the accuracy, completeness, specificity and appropriateness of provider-reported diagnosis codes based on medical record documentation Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories Maintains knowledge of relevant regulatory mandates and ensures activities are in compliance with requirements Contributes to audit and productions efforts to meet business demand and workload priorities Provide written and verbal guidance on coding errors to others Meets audit deliverables within established timelines and deadlines Assists with special projects such as risk mitigation reviews Serves as subject matter resource regarding the risk adjustment process and diagnosis coding for risk adjustment Required Skills: 7+ years of related professional experience. All relevant experience including work, education, transferable skills and military experience will be considered Candidates must demonstrate basic proficiency in Microsoft 365, including the ability to use Outlook and Teams for meeting scheduling, calendar management and day-to-day collaboration 5+ years of HCC coding experience in utilizing inpatient and outpatient coding guidelines 5_ years of experience auditing Risk Adjustment records 1+ years working in a Production environment CRC in good standing, in addition to required coding certification or ability to obtain certification with the first 6 months of hire, upon possible conversion Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial and Medicaid models Demonstrated ability to apply critical thinking skills to coding policy interpretation and implementation Experience providing written and verbal guidance on coding errors and trends Intermediate (or higher) MS Office (Word, Excel, Powerpoint and Outlook) Excellent organizational ability to manage multiple projects and perform in a deadline driven environment High school diploma (or equivalency) and legal authorization to work in the U.S. Preferred Skills: Bachelor’s degree HEDIS/STARS experience Provider education experience Prior RADV experience CPMA or other coding credentials As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Please note: The following benefits reflect Kelly's general offerings. Eligibility may vary by assignment, location, and job type. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Get a complete career fit with Kelly . You’re looking to keep your career moving onward and upward, and we’re here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career. About Kelly Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year. Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Kelly may use AI-powered tools during the recruitment and hiring process. For full details, including how Kelly uses AI, your rights, and how to request a reasonable accommodation, visit the Recruitment Artificial Intelligence Notice ( . Kelly Services is proud to be an Equal Employment Opportunity and Affluent Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. #J-18808-Ljbffr Kelly Services