Certified Risk Adjustment Auditor

A company is looking for a Risk Adjustment Auditor II to conduct chart reviews and ensure compliance with risk adjustment reporting. Key Responsibilities Conduct retrospective and prospective chart reviews for accurate risk adjustment reporting Identify trends in provider coding and collaborate on quality improvement initiatives Mentor junior staff and maintain knowledge of regulatory changes impacting risk adjustment Required Qualifications Proven ability to perform accurate chart reviews for risk adjustment Knowledge of ICD-9-CM/ICD-10 Coding Guidelines Advanced understanding of risk adjustment and coding requirements Certified Risk Adjustment Coder and Certified Professional Coder certifications required Knowledge of health systems operations and reimbursement methodologies

Feb 21, 2025 - 16:57

A company is looking for a Risk Adjustment Auditor II to conduct chart reviews and ensure compliance with risk adjustment reporting. Key Responsibilities Conduct retrospective and prospective chart reviews for accurate risk adjustment reporting Identify trends in provider coding and collaborate on quality improvement initiatives Mentor junior staff and maintain knowledge of regulatory changes impacting risk adjustment Required Qualifications Proven ability to perform accurate chart reviews for risk adjustment Knowledge of ICD-9-CM/ICD-10 Coding Guidelines Advanced understanding of risk adjustment and coding requirements Certified Risk Adjustment Coder and Certified Professional Coder certifications required Knowledge of health systems operations and reimbursement methodologies