Risk Adjustment Quality Lead Analyst
A company is looking for a Quality Review & Audit Lead Analyst. Key Responsibilities Drive performance and provide support, feedback, education, and training on value-based metrics specific to risk adjustment Develop, implement, and present risk adjustment training and informative material to various audiences Support partnerships to develop programs for accurate and compliant risk capture Required Qualifications Bachelor's degree in health care, nursing, business management, or related field Minimum 5 years' experience in coding, risk adjustment revenue/policy adherence, and/or physician practice management Coding certification required (e.g., CPC, CCS-P, CPCO, RHIT, RHIA, CRC) Experience in claims processing and revenue cycle management preferred Experience in a clinical field or practice management background strongly preferred
A company is looking for a Quality Review & Audit Lead Analyst.
Key Responsibilities
Drive performance and provide support, feedback, education, and training on value-based metrics specific to risk adjustment
Develop, implement, and present risk adjustment training and informative material to various audiences
Support partnerships to develop programs for accurate and compliant risk capture
Required Qualifications
Bachelor's degree in health care, nursing, business management, or related field
Minimum 5 years' experience in coding, risk adjustment revenue/policy adherence, and/or physician practice management
Coding certification required (e.g., CPC, CCS-P, CPCO, RHIT, RHIA, CRC)
Experience in claims processing and revenue cycle management preferred
Experience in a clinical field or practice management background strongly preferred
