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Risk Adjustment Coder – Specialist

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 51-200H1B SponsorCompany SiteLinkedIn

Location

Arizona + 2 moreAll locations: Arizona, Florida, Texas

Posted

9 days ago

Salary

$67.8K - $89.0K / year

Bachelor Degree2 yrs expEnglish

Job Description

• Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts. • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards. • Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits. • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process. • Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business. • Identify process improvements to enhance medical encounter review efficiency. • Compliance with all applicable laws and regulations • Other duties as assigned

Job Requirements

  • Bachelor's degree in a relevant field of study or commensurate work experience.
  • Certified professional coder (CPC)
  • 2+ year(s) retrospective risk adjustment coding experience.

Benefits

  • Health insurance
  • 401(k) plan participation
  • Unlimited vacation program
  • Annual performance bonuses
  • Paid sick time
  • Paid parental leave
  • Life and disability insurance
  • Paid wellness time and reimbursements

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