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
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