Find out the top 10 core skills you need to master as a risk adjustment auditor and what hard skills you need to know to succeed in this job.
A Risk Adjustment Auditor is responsible for overseeing the transfer of money fro insurers to their customers whether sick or healthy. This position is critical as it ensures all the calculations of the expected healthiness of a pool of people are accurately done and the authentic transfer of payments completed.
The essential roles of this position include ensuring accurate transfers are done without any false details anywhere, running random spot checks to ensure that the patient's health and diagnoses are accurately reported, ensuring the patient's confidentiality is maintained without being released to any other organization except those that need to use that information with permission.
Core Skills Required to be a Risk Adjustment Auditor
Core skills describe a set of non-technical abilities, knowledge, and understanding that form the basis for successful participation in the workplace. Core skills enable employees to efficiently and professionally navigate the world of work and interact with others, as well as adapt and think critically to solve problems.
Core skills are often tagged onto job descriptions to find or attract employees with specific essential core values that enable the company to remain competitive, build relationships, and improve productivity.
A risk adjustment auditor should master the following 10 core skills to fulfill her job properly.
Verbal Communication:
Verbal Communication is the use of tones and language to relay a message; it aids as a vehicle for expressing ideas, concepts and it, is critical to the daily running of the business.
A Risk Adjustment Auditor portrays his/her image and that of the company by the way he/she communicates; strong verbal communication skills are vital for business development and forging lasting relationships with customers, suppliers, and colleagues.
Phone Skills:
Phone Skills are useful to present a professional company image through the telephone to the customers while making them feel well informed and appreciated without necessarily seeing their faces.
A Risk Adjustment Auditor is required to master and project an enthusiastic natural tone to make both the customers and staff feel comfortable during the conversation while creating room for a productive and friendly exchange.
Interpersonal Skills:
Interpersonal Skills are a set of abilities that enable a person to positively interact and work with others effectively while avoiding office disputes and personal issues with each other.
A Risk Adjustment Auditor must learn the importance of these skills in the workplace and emphasis on every employee possessing them to build a more cohabit able and productive workplace with the help of each.
Ethical Behavior:
Ethical Behavior is acting in policies that are consistent with what the society and individuals typically think are good morals or values.
A Risk Adjustment Auditor should put emphasis on ethical behavior as best as he does to performance because it's as important as high morale and teamwork to all individuals who are committed to keeping the company values as well as speaking up when such costs are broken.
Potential for Advancement:
The potential for Advancement is the ability to make something better by being more skillful, more efficient, and more useful to produce high-quality results.
A Risk Adjustment Auditor needs to invest in his employees by creating room for individual advancement that encourages stronger job performance because it positions the employees to demonstrate just how well they can perform their jobs through motivation and feedback that are critical to the employee performance.
Project and Goal Focus:
Project and Goal Focus is setting your mind and heart on things that matter and add value to your life against those things that add no value at all or of little value.
A Risk Adjustment Auditor ought to learn of early hiccups that may cause distraction and get to motivate the employees early enough to see the projects completed promptly and in good condition.
Quality Management:
Quality Management is the management approach to the long-term success through customer satisfaction that directly involves the employees in the continual improvement of the daily tasks.
A Risk Adjustment Auditor should consider the quality management earnestly for the success of the business by improving the processes, products, services, the discipline and the culture in which they work under to warrant the improvement of profitability and productivity.
Business Trend Awareness:
Business Trend Awareness is the capacity to be conscious of the changing ways in which the companies are developing in the marketplace.
A Risk Adjustment Auditor should have the required knowledge of new business trends that he can instigate or follow and the understanding of how they are impacting the business decisions which will eventually bring success to the employees as well as the enterprise
Technology Trend Awareness:
Technology Trend Awareness is staying updated with the useful upcoming trends that can serve your business better and easier.
A Risk Adjustment Auditor must be able to look back at the setbacks and success of the company and consider new possibilities for the future by the use of technology looking for a better, faster, more practical approach that can make business more productive.
Writing Reports and Proposals:
Writing Reports and Proposals is the ability to record business reports and plans for the company or project following the policies and procedures of the company.
A Risk Adjustment Auditor should, therefore, emphasize the need and accuracy of these reports and plans to ensure they are delivered promptly, and the details within are accurate adhering to the company's policies and regulations without compromise.
Hard Skills Required to be a Risk Adjustment Auditor
Hard skills are job-specific skill sets, or expertise, that are teachable and whose presence can be tested through exams. While core skills are more difficult to quantify and less tangible, hard skills are quantifiable and more defined.
Hard skills are usually listed on an applicant's resume to help recruiters know the applicant's qualifications for the applied position. A recruiter, therefore, needs to review the applicant's resume and education to find out if he/she has the knowledge necessary to get the job done.
A risk adjustment auditor should have a good command of the following hard skills to succeed in her job.