Risk Adjustment Coding Advisor
Description:
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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