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Risk Adjustment Coding Analyst
A company is looking for an Individual & Family Plans (IFP) Quality Review and Audit Analyst. Key Responsibilities Conduct medical record reviews and assign ICD-10-CM diagnostic codes accurately Perform documentation and data audits to identify gaps or inaccuracies in risk adjustment data Collaborate with team members and external partners for coding education and quality reviews Required Qualifications High School Diploma At least two years of Risk Adjustment experience with relevant certification (CPC, CCS-P, CCS-H, RHIT, RHIA, or CRC) Achieve CRC certification within 6 months of hire, if not currently certified Experience with medical audits and medical chart reviews Proficiency with ICD-10-CM coding guidelines and conventions
A company is looking for an Individual & Family Plans (IFP) Quality Review and Audit Analyst.
Key Responsibilities
Conduct medical record reviews and assign ICD-10-CM diagnostic codes accurately
Perform documentation and data audits to identify gaps or inaccuracies in risk adjustment data
Collaborate with team members and external partners for coding education and quality reviews
Required Qualifications
High School Diploma
At least two years of Risk Adjustment experience with relevant certification (CPC, CCS-P, CCS-H, RHIT, RHIA, or CRC)
Achieve CRC certification within 6 months of hire, if not currently certified
Experience with medical audits and medical chart reviews
Proficiency with ICD-10-CM coding guidelines and conventions