Certified Risk Adjustment QA Coordinator

Job Summary

A company is looking for a Risk Adjustment QA Coordinator.

Key Responsibilities

• Perform quality assurance reviews on risk adjustment data submitted to CMS
• Evaluate coding accuracy using ICD 10 Guidelines and internal policies
• Provide constructive feedback to coders and support quality improvement initiatives

Required Qualifications

• Associates degree in a related healthcare field or equivalent experience
• 1 year of progressive medical coding and healthcare experience
• Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA)
• Understanding of ICD-10 coding standards required
• Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year