Certified Professional Coder Director

Job Summary

A company is looking for a National Director, Risk Adjustment.

Key Responsibilities

• Collaborate with Market and Provider Leadership to identify and implement initiatives for improving coding performance
• Manage projects related to complete and accurate coding, including vendor assessment and clinician coordination
• Serve as the internal subject matter expert on risk adjustment models and maintain coding compliance

Required Qualifications

• Bachelor's degree required
• Minimum of 3 years experience in a leadership position in risk adjustment
• Certified Professional Coder (CPC) required; CPC and Certified Risk Adjustment Coder (CRC) preferred
• Knowledge of Federal laws and regulations related to risk adjustment documentation and coding compliance
• Extensive knowledge of coding guidelines established by CMS and AMA