Certified Risk Adjustment Coder
Job Summary
Responsible for diagnosis coding review and vendor coding quality assurance, the full-time Certified Risk Adjustment Coder will ensure accurate representation of population care needs and risks while working remotely during business hours.
Key responsibilities
- Perform retrospective chart reviews for diagnosis coding accuracy
- Identify and report coding error trends to inform risk adjustment analytics and deliver provider education
- Develop and conduct training seminars on risk adjustment topics for physicians and advanced practice providers
Required qualifications
- High School Diploma or GED, or Associate's degree in a related field
- Certified Risk Adjustment Coder (CRC) credential
- Minimum of five years of experience with diagnosis coding review as a certified coder
- Demonstrated knowledge of the revenue cycle process, claims processing, and coding regulations
- Ability to identify issues and formulate solutions for retrospective chart review process improvements
Complete Job Description
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