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Risk Adjustment Analyst - NC Licensed
A company is looking for a Risk Adjustment Analyst- HIM OP CDI. Key Responsibilities Analyze and audit medical records for payer audits under Value Care contracts Review HCC Edit WQ cases to reorder diagnoses for claim billing Conduct pre-visit medical record reviews to ensure accurate documentation of HCC conditions Required Qualifications High school diploma or GED required Successful completion of the OP CDI Proficiency Test Certification from AHIMA, AAPC, ACDIS, or relevant nursing licenses required Minimum of twelve months of OP coding or nursing experience in an ambulatory care setting Strong knowledge of medical record documentation and coding guidelines
A company is looking for a Risk Adjustment Analyst- HIM OP CDI.
Key Responsibilities
Analyze and audit medical records for payer audits under Value Care contracts
Review HCC Edit WQ cases to reorder diagnoses for claim billing
Conduct pre-visit medical record reviews to ensure accurate documentation of HCC conditions
Required Qualifications
High school diploma or GED required
Successful completion of the OP CDI Proficiency Test
Certification from AHIMA, AAPC, ACDIS, or relevant nursing licenses required
Minimum of twelve months of OP coding or nursing experience in an ambulatory care setting
Strong knowledge of medical record documentation and coding guidelines