A company is looking for a Risk Adjustment Coding Compliance Analyst (Non-Clinical).
Key Responsibilities Ensure coding accuracy by reviewing medical records per ICD-10 and company guidelines Conduct audits and gap analyses to evaluate risk adjustment quality programs and compliance Provide guidance on CMS coding requirements and recommend mitigation strategies for identified risks Required Qualifications, Training, and Education High School Diploma or GED required; Associate's Degree preferred 2+ years of professional coding experience in a healthcare setting required; 5+ years preferred Managed care experience preferred Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required Certified Risk Adjustment Coder (CRC) preferred