Risk Adjustment Auditor

📋 Description

• Responsible for daily operations pertaining to Risk Adjustment including but not limited to
• Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported
• Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in
• Maintain compliance with national standards and coding practices set by the ICD-10-CM coding
• Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data
• Develop relationships with key individuals to foster an increased understanding of the Risk

🎯 Requirements

• Bachelor's degree in a relevant field of study or commensurate work experience.
• Certified professional coder (CPC).
• 3+ year(s) retrospective risk adjustment coding experience.
• 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV)
• Bonus: Certified Risk Adjustment Coder (CRC) or similar certification.
• Bonus: Experience coding in a variety of different Electronic Medical Record (EMR) systems.

🎁 Benefits

• Medical, dental, and vision benefits
• 11 paid holidays
• Paid sick time
• Paid parental leave
• 401(k) plan participation
• Life and disability insurance