Certified Risk Adjustment Coder 3132622 I.Html

Working remotely in a full-time capacity, the Certified Risk Adjustment Coder will perform medical record reviews, ensure compliance with Medicare Risk Adjustment metrics, and document findings to enhance coding accuracy and provider education.

##### Key responsibilities

Conduct medical record reviews to determine appropriate ICD-10-CM coding and billing compliance

Document detailed audit findings and communicate deficiencies to improve provider documentation

Provide actionable solutions to enhance coding quality and support risk adjustment metrics

##### Required qualifications

AAPC Certified Professional Coder and/or Certified Risk Adjustment Coder (CRC)

Completion of an accredited certified coding specialist program

2+ years of clinic or hospital experience and/or managed care experience

1+ years of experience in Risk Adjustment and HEDIS/Stars

Comprehensive knowledge of ICD-10-CM codes and CMS documentation requirements