Job Summary
A company is looking for a Medical Risk Adjustment Specialist (Coder).
Key Responsibilities
- Utilizes ICD-10, CPT, and HCPCS codes for reporting diagnoses and procedures
- Conducts ongoing audits of medical records to ensure accuracy and compliance with coding guidelines
- Educates providers on HCC Coding and clinical documentation requirements related to risk adjustment
Required Qualifications, Training, and Education
- Certified Professional Coder (CPC) required; Certified Risk Adjustment Coder (CRC) preferred
- At least 3 years of experience with risk adjustment or HCC coding
- Minimum High School degree or equivalent; College or Associate degree preferred
- Minimum 1 year of experience with HEDIS/Stars
- Advanced knowledge of medical codes and terminology
Comments