Risk Adjustment Coding Advisor
A company is looking for a Risk Adjustment Coding Advisor to join their team. Key Responsibilities Recommend process improvements to enhance coding quality goals and outcomes Validate and troubleshoot Natural Language Processing (NLP) outputs from clinical documentation Oversee coding projects, including training third-party coding vendors and reviewing coding guidelines Required Qualifications Bachelor's degree or equivalent experience Medical coding certification (RHIA, RHIT, CCS, CPC, or CRC) with 3-5 years of coding and auditing experience Working knowledge of risk adjustment models including CMS-HCC, HHS-HCC, and CDPS Experience with standardized clinical terminologies such as ICD-10 and CPT-4 Strong understanding of anatomy, physiology, disease processes, and medical terminology
A company is looking for a Risk Adjustment Coding Advisor to join their team.
Key Responsibilities
Recommend process improvements to enhance coding quality goals and outcomes
Validate and troubleshoot Natural Language Processing (NLP) outputs from clinical documentation
Oversee coding projects, including training third-party coding vendors and reviewing coding guidelines
Required Qualifications
Bachelor's degree or equivalent experience
Medical coding certification (RHIA, RHIT, CCS, CPC, or CRC) with 3-5 years of coding and auditing experience
Working knowledge of risk adjustment models including CMS-HCC, HHS-HCC, and CDPS
Experience with standardized clinical terminologies such as ICD-10 and CPT-4
Strong understanding of anatomy, physiology, disease processes, and medical terminology
