Clinical Risk Adjustment Lead

Job Summary

A company is looking for a Clinical Risk Adjustment Lead.

Key Responsibilities:

• Assist Managers with clinical pends
• Assign manual assignments and assist with individual data entry production
• Review reports daily for QA scores and ensure collaboration among cross functional teams

Qualifications:

• Current Coding Certification through AAPC and/or AHIMA
• Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment
• Additional experience in facility coding and Health Plan Risk Adjustment Data Validation Audit is preferred
• Ability to work independently in a fast-paced remote environment with minimal supervision
• Advanced knowledge of medical terminology, anatomy, and pharmacology