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Arizona Licensed Risk Adjustment Coder

5/30/2025

Remote

Job Summary

A company is looking for a Risk Adjustment Coding Reviewer.

Key Responsibilities
  • Conduct medical record reviews to ensure diagnosis coding meets specificity requirements
  • Query providers for additional documentation regarding unclear or conflicting health records
  • Compile data and provide training to providers and staff on coding, billing, and documentation standards
Required Qualifications
  • Bachelor's degree in healthcare administration or related field, or equivalent experience
  • Active credential such as RHIA, RHIT, CCS, or CPC
  • Four or more years of work experience in risk adjustment
  • Knowledge of medical terminology, anatomy, physiology, and disease pathology
  • Proficiency in common office and presentation software, and healthcare applications

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