Job Summary
A company is looking for a Risk Adjustment Analyst- HIM OP CDI.
Key Responsibilities
- Analyze and audit medical records for payer audits under Value Care contracts
- Review and reorder Hierarchical Condition Categories (HCC) for claim generation
- Conduct pre-visit medical record reviews and create queries to support clinical documentation
Required Qualifications, Training, and Education
- High school diploma or GED required
- Successful completion of the OP CDI Proficiency Test
- One of the following certifications: AHIMA, AAPC, CPC, CRC, ACDIS, RN, LPN, NP, PA, or MD
- Minimum of twelve (12) months of OP coding or nursing experience in an ambulatory care setting
- Strong knowledge of medical record documentation requirements and coding guidelines
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