Risk Adjustment Coding Advisor
Posted 2025-03-14Description:
? Working with clients to establish and maintain risk adjustment coding accuracy thresholds
? Reviewing and auditing medical records and physician documentation for HCC accuracy
? Conducting strategic analysis and scenario modeling across functional disciplines
? Tracking, aggregating and summarizing coding and billing rules for the product team
? Collaborating with engineering, product, and customer success teams on client roadmap
? Providing coding education and training to internal engineering and product teams
? Preparing executive presentations and reports for internal and external audiences
? Developing and enhancing internal and client-facing analytics and reporting
Requirements: ? Current AAPC CRC certification or AHIMA RAC microcredential ? Prior experience working in healthcare, especially healthcare consulting ? Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs ? Working knowledge of anatomy/physiology, disease process and medical terminology ? Familiarity with medications and reimbursement guidelines ? Proven ability to communicate effectively across domains and experience levels ? Drive to innovate, identify novel approaches, and act decisively ? Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.)
Benefits:
? Joining a high-growth technology firm
? Opportunity to work with cutting-edge AI technology
? Working in a cross-functional role across multiple disciplines
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