Certified Risk Adjustment Coder

Job Summary

A company is looking for a Risk Adjustment Coder who will apply technical expertise to ensure compliance with regulations and optimize financial success.

Key Responsibilities

• Perform medical record reviews and code with compliance to CMS and HIPAA regulations
• Conduct quantitative and qualitative analysis of medical records for completeness and accuracy
• Execute risk adjustment data validations using AHA coding guidelines

Required Qualifications

• Valid Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), or CCA designation with at least one year of coding experience
• At least 6 months of experience coding ICD-10 CM
• Experience with MS Word, Excel, PowerPoint, and ability to learn new software
• Strong work ethic and ability to work independently in a remote setting
• Documentation Improvement experience and knowledge of Medicare Advantage plans are a plus