Risk Adjustment Compliance Specialist

A company is looking for a Risk Adjustment Audit and Compliance Specialist. Key Responsibilities Conduct audits to measure operational risk and ensure regulatory compliance Establish processes for provider feedback and educational outreach Collaborate with various teams to optimize the risk adjustment coding process Required Qualifications 3-5 years of experience in risk adjustment coding, compliance, or auditing Bachelor's degree or equivalent experience in a related field Certified Professional Coder (CPC) Certification Strong understanding of ICD-10 coding and HCCs Experience in a value-based care environment

Mar 28, 2025 - 23:25

A company is looking for a Risk Adjustment Audit and Compliance Specialist. Key Responsibilities Conduct audits to measure operational risk and ensure regulatory compliance Establish processes for provider feedback and educational outreach Collaborate with various teams to optimize the risk adjustment coding process Required Qualifications 3-5 years of experience in risk adjustment coding, compliance, or auditing Bachelor's degree or equivalent experience in a related field Certified Professional Coder (CPC) Certification Strong understanding of ICD-10 coding and HCCs Experience in a value-based care environment