Virtual Risk Adjustment Quality Assurance Auditor

Job Summary

A healthcare and health insurance company is searching for a person to fill their position for a Virtual Risk Adjustment Quality Assurance Auditor.

Must be able to:

• Ensure that Optum Coding Guidelines are consistently applied in all processes
• Provide ICD10-CM coding training, as it relates to HCC coding, as requested
• Assist with execution of Internal Risk Adjustment Coding Review programs

Qualifications Include:

• Up to 5% travel for local meetings for Florida residents only
• Coding Certification required
• Associates' degree or higher
• 5 years of recent experience ICD - 9/10 coding
• 2 years of recent Medicare Risk Adjustment experience
• 2 years of coding experience working in a provider's office or for a Medicare Advantage health plan