Certified Risk Adjustment Auditor

A company is looking for a Risk Adjustment Auditor II for a remote contract opportunity.

Key Responsibilities

Perform retrospective and prospective chart reviews to ensure accurate risk adjustment reporting

Verify the accuracy and completeness of provider-reported diagnosis codes based on medical record documentation

Identify trends in provider coding and documentation, collaborating to develop intervention strategies

Required Qualifications

Associate degree in Healthcare or related field and 5+ years of experience in clinical coding or auditing, or equivalent combination of education and experience

CRC - Certified Risk Adjustment Coder

CPC - Certified Professional Coder

Demonstrated ability to perform accurate and complete chart reviews for risk adjustment

Knowledge and adherence to ICD-9-CM / ICD-10 Official Coding Guidelines