Legal Compliance Advisor- Medicare Part C Risk Adjustment Monitoring and Audit

Responsible for Part C audit activities for the Cigna Compliance Department, with particular emphasis on Coding, Risk Adjustment and Coding Decisions. Collaborates with Cigna Compliance colleagues and business partners to drive process improvements, monitor and audit ICD-10 codes submitted to Cigna by providers, identify codes that may be submitted inappropriately and where identified ensure effective corrective action. S/he forges and maintains positive working relationships with business owners, management, regulators and compliance colleagues and demonstrates the ability to influence business partner and/or staff behavior at whatever level and to whatever extent is needed.