- Remote, United States
- Remote
- Full-time · Senior
- $68K–$99K per year
- 2+ years
Responsible for daily operations pertaining to Risk Adjustment including medical record reviews, coding, audits, and process improvement.
Compensation
The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,005 per year.
Responsibilities
- Conduct medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business
- Maintain compliance with national standards and coding practices set by ICD-10-CM guidelines
- Participate in CMS audits of Risk Adjustment activities
- Develop relationships with key individuals to foster understanding of the Risk Adjustment process
- Support identification of document improvement opportunities for provider education
Requirements
- Bachelor's degree in a relevant field of study or commensurate work experience
- Nice to have: Certified Risk Adjustment Coder (CRC) or similar certification