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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