Certified Risk Coder Specialist

Job Summary

A company is looking for a Risk Adjustment Coding Oversight Specialist.

Key Responsibilities

• Conduct quality oversight audits for risk adjustment coding of internal and external coders
• Report added or deleted diagnoses based on medical record reviews
• Support departmental goals and vendor SLA requirements while performing additional risk adjustment projects as needed

Required Qualifications, Training, and Education

• High-school Diploma or equivalent
• Current CPC (Certified Professional Coder) or AHIMA CCS (Certified Coding Specialist) credential
• Current CRC (Certified Risk Coder) Certification
• Minimum of two (2+) years of recent experience in medical record review, risk adjustment, diagnosis coding, and/or quality auditing
• An equivalent combination of education and experience may be substituted for the above requirement