Risk Adjustment Coder

Job Summary

A company is looking for a Risk Adjustment Coder.

Key Responsibilities

• Review patient medical records to identify coding opportunities for risk adjustment
• Ensure accurate capture of diagnosis codes and educate providers on documentation improvements
• Develop educational materials and participate in network performance improvement initiatives

Required Qualifications

• Associates degree or equivalent work experience
• CPC, CRC, CCS, CCS-P, or RHIT certification
• Advanced knowledge of CPT and ICD-10 coding
• Familiarity with CMS HCC Risk Adjustment coding and data validation requirements
• 2-3 years of experience in risk adjustment/HCC coding preferred