Junior Data Analyst

Role : IT Coding Analyst (RADV)

Client is seeking a IT Coding Analyst (RADV) with a Camarillo CA-based client to join their team

Job Description

The IT Coding Analyst RADV plays a vital role in optimizing revenue performance through accurate coding and risk adjustment practices. This role requires a strong background in financial analysis, medical coding, and regulatory compliance within the Medicare Advantage or Medicaid environments. You'll collaborate with cross-functional teams to improve documentation, analyze coding data, support audits, and contribute to financial modeling that aligns with CMS and HHS requirements.

Key Responsibilities :

• Financial Analysis & Risk Adjustment Modeling
• Analyze financial data related to Medicare Advantage and Medicaid risk adjustment revenue.
• Model revenue impact based on member risk scores (e.g., HCC, RxHCC) and coding accuracy.
• Develop accrual estimates for financial reporting and forecasting tied to risk adjustment performance.

Coding Audits & Documentation Review

Compliance & Regulatory Support

Cross-Functional Collaboration

Data & Reporting

Qualifications : Required :

Preferred