Certified Risk Adjustment Consultant

Job Summary

A company is looking for a Risk Adjustment Consultant to support PACE programs through accurate risk adjustment documentation and coding.

Key Responsibilities

• Conduct detailed reviews of medical records for diagnosis coding validation and compliance
• Serve as the primary contact for assigned PACE clients and deliver training on documentation improvement
• Develop customized onboarding plans and coordinate implementation timelines for clients

Required Qualifications

• Certifications: CPC, CCS, RHIT, and CRC (Certified Risk Adjustment Coder)
• Minimum of 5 years of experience in medical coding focused on risk adjustment
• High School diploma required; Associate's or Bachelor's degree preferred
• Strong understanding of CMS risk adjustment models and HCC coding
• Proficiency in EMR systems and natural language processing tools