Certified Risk Adjustment Director

Job Summary

To enhance coding accuracy across markets, the full-time Certified Risk Adjustment Director will identify and implement initiatives, collaborate with leadership, and manage projects while cultivating relationships with key stakeholders in a remote environment.

Key responsibilities

• Collaborate with Market and Provider Leadership to identify opportunities and facilitate the implementation of coding improvement processes
• Manage projects related to complete and accurate coding, including vendor assessment and coordination with clinical teams
• Serve as the internal subject matter expert on risk adjustment models and maintain a focus on coding compliance and education

Required qualifications

• Bachelor's degree or equivalent work experience highly preferred
• Minimum of 3 years of experience in a leadership position in risk adjustment
• Certified Professional Coder (CPC) required; CPC and Certified Risk Adjustment Coder (CRC) preferred
• Extensive knowledge of documentation and coding guidelines established by CMS and AMA
• Familiarity with Electronic Medical Records and other relevant software applications