Certified Coding Compliance Analyst

Job Summary

A company is looking for a Risk Adjustment Coding Compliance Analyst (Non-Clinical).

Key Responsibilities

• Review inpatient and outpatient medical records for coding accuracy in accordance with ICD-10 and company guidelines
• Conduct audits and gap analysis to evaluate compliance with CMS risk adjustment guidelines
• Provide guidance on coding requirements and recommend strategies for mitigating compliance risks

Required Qualifications

• High School Diploma or GED required; Associate's Degree preferred
• 2+ years of professional coding experience in a healthcare setting required
• 5+ years of professional coding experience preferred
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required
• Certified Risk Adjustment Coder (CRC) preferred