Certified Risk Adjustment Auditor

Job Summary

A company is looking for a Prospective Auditor to support a Medicare risk adjustment initiative.

Key Responsibilities

• Audit information from the Innovaccer tool and validate diagnosis codes for accuracy
• Review medical documentation and make final determinations prior to provider review
• Perform high-volume chart reviews with a daily productivity expectation of 50-80 charts

Required Qualifications

• 1+ years of experience in risk adjustment coding, HCC coding, or outpatient diagnosis coding
• Ability to consistently meet daily production expectations of 50-80 reviews
• Active coding certification required (CPC, CRC, CPMA, CDEO, CCS, CCS-P, RHIA, RHIT, or CCDS)
• Experience working with Medicare and/or Medicare Advantage data