Risk Adjustment Coding Analyst

A company is looking for a Quality Review & Audit Analyst for Individual & Family Plans (IFP). Key Responsibilities Conduct medical record reviews and accurately assign ICD-10-CM diagnostic codes Perform documentation and data audits to identify gaps or inaccuracies in risk adjustment data Collaborate with team members to facilitate coding education and perform quality reviews of vendor partner coding output Required Qualifications High School Diploma At least two years of Risk Adjustment experience with relevant coding certification Experience with medical audits and medical chart reviews Proficiency with ICD-10-CM coding guidelines and conventions Familiarity with CMS regulations and policies related to documentation and coding

Jun 17, 2025 - 04:10

A company is looking for a Quality Review & Audit Analyst for Individual & Family Plans (IFP). Key Responsibilities Conduct medical record reviews and accurately assign ICD-10-CM diagnostic codes Perform documentation and data audits to identify gaps or inaccuracies in risk adjustment data Collaborate with team members to facilitate coding education and perform quality reviews of vendor partner coding output Required Qualifications High School Diploma At least two years of Risk Adjustment experience with relevant coding certification Experience with medical audits and medical chart reviews Proficiency with ICD-10-CM coding guidelines and conventions Familiarity with CMS regulations and policies related to documentation and coding