Certified Risk Adjustment Coder

Job Summary

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

Key Responsibilities

• Ensure coding accuracy by reviewing medical records per ICD-10 and company guidelines
• Conduct audits and gap analyses to evaluate risk adjustment quality programs and compliance
• Provide guidance on CMS coding requirements and recommend mitigation strategies for identified risks

Required Qualifications, Training, and Education

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