Oregon Licensed Risk Adjustment Auditor

Job Summary

A company is looking for a Risk Adjustment Auditor to support accurate risk adjustment reporting through medical record review and analysis.

Key Responsibilities

• Conduct thorough retrospective and prospective medical record reviews for risk adjustment reporting
• Evaluate provider documentation and diagnosis coding for accuracy and compliance with guidelines
• Identify trends and opportunities in coding practices and communicate findings to stakeholders

Required Qualifications

• Current Certified Risk Adjustment Coder (CRC) certification
• Current Certified Professional Coder (CPC) certification
• Advanced knowledge of risk adjustment principles and diagnosis coding standards
• Experience performing accurate chart audits for risk adjustment purposes
• Associate degree in healthcare or related field with 5-7 years of relevant experience