Risk Adjustment Coding Specialist I

The Risk Adjustment Coding Specialist I is responsible for decision-making and coding reviews to ensure accurate documentation of clinical conditions, supporting risk adjustment and quality assurance for various medical programs.

Location: Remote

Responsibilities

• Perform risk adjustment coding and quality assurance validation.
• Conduct prospective medical record review.
• Perform concurrent outpatient claim diagnosis coding.
• Conduct retrospective medical record and provider response reviews.