Certified Clinical Risk Adjustment Lead

A company is looking for a Clinical Risk Adjustment Lead. Key Responsibilities Assist managers with clinical pends and provide over-read feedback Assign manual assignments and assist with individual data entry production Review daily reports for QA scores and ensure collaboration among cross-functional teams for product releases Required Qualifications Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA, etc.) through AAPC and/or AHIMA Minimum of 5 years coding experience with knowledge of Medicare and Commercial Risk Adjustment Preferred experience in facility coding and Health Plan Risk Adjustment Data Validation Audit (RADV) Ability to work independently in a fast-paced remote environment Advanced knowledge of medical terminology, anatomy, and pharmacology

Mar 10, 2025 - 15:02

A company is looking for a Clinical Risk Adjustment Lead. Key Responsibilities Assist managers with clinical pends and provide over-read feedback Assign manual assignments and assist with individual data entry production Review daily reports for QA scores and ensure collaboration among cross-functional teams for product releases Required Qualifications Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA, etc.) through AAPC and/or AHIMA Minimum of 5 years coding experience with knowledge of Medicare and Commercial Risk Adjustment Preferred experience in facility coding and Health Plan Risk Adjustment Data Validation Audit (RADV) Ability to work independently in a fast-paced remote environment Advanced knowledge of medical terminology, anatomy, and pharmacology