Risk Adjustment Coder SpecialistNew$75K–$99K
The opportunity
Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team.
What you'll do
Responsible for daily operations pertaining to Risk Adjustment including but: not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts.
Maintain compliance with national standards and coding practices set by the: ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
Participate in CMS audits of Risk Adjustment activities, including but not: limited to Risk Adjustment Data Validation audits.
Develop relationships with key individuals to foster an increased: understanding of the Risk Adjustment process.
Support in the identification of document improvement opportunities for: provider education in both MA and ACA line of business.
Identify process improvements to enhance medical encounter review efficiency.
What they're looking for
- Compliance with all applicable laws and regulations
- Other duties as assigned
- Bachelor's degree in a relevant field of study or commensurate work experience.
- Certified professional coder (CPC)
