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California Licensed Risk Adjustment Specialist
A company is looking for a Risk Adjustment Audit and Compliance Specialist. Key Responsibilities Conduct audits to measure operational risk and ensure adherence to regulatory requirements Establish processes for provider feedback and educational outreach Collaborate with various teams to optimize risk adjustment coding processes Required Qualifications 3-5 years of experience in risk adjustment coding, compliance, or auditing Bachelor's degree or equivalent experience in a related field Certified Professional Coder (CPC) Certification Strong understanding of ICD-10 coding and HCCs Experience in a value-based care environment
A company is looking for a Risk Adjustment Audit and Compliance Specialist.
Key Responsibilities
Conduct audits to measure operational risk and ensure adherence to regulatory requirements
Establish processes for provider feedback and educational outreach
Collaborate with various teams to optimize risk adjustment coding processes
Required Qualifications
3-5 years of experience in risk adjustment coding, compliance, or auditing
Bachelor's degree or equivalent experience in a related field
Certified Professional Coder (CPC) Certification
Strong understanding of ICD-10 coding and HCCs
Experience in a value-based care environment