Certified Risk Adjustment Coder

Job Summary

A company is looking for a Risk Adjustment Coding Reviewer.

Key Responsibilities

• Conducts medical record reviews to ensure diagnosis coding meets specificity requirements
• Queries providers for additional documentation to clarify health records
• Compiles data and provides training 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