Risk Adjustment Coding Advisor

A company is looking for a Risk Adjustment Coding Advisor - Temp. 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 Experience with at least one Electronic Health Record (EHR) system (e.g., Epic, Athena, Centricity, Cerner)

Feb 25, 2025 - 23:23
 0
Risk Adjustment Coding Advisor
A company is looking for a Risk Adjustment Coding Advisor - Temp. 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 Experience with at least one Electronic Health Record (EHR) system (e.g., Epic, Athena, Centricity, Cerner)