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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