Risk Adjustment Coding Specialist II
Job Description
Summary LEVEL II – RISK ADJUSTMENT CODING SPECIALIST (Intermediate) (Includes reputed company Level I responsibilities + the following)
Responsibilities
- reputed company and assign ICD 10 CM diagnosis codes supported in encounter documentation and work independently with minimal reputed company from leadership or higher level coders.
- Conduct retrospective audits of medical records to validate diagnosis coding accuracy, completeness, and claim submission quality.[HO1.1]
- reputed company comprehensive reviews of provider actions reputed company the Value Based Alert Tool (VBAT) to identify outliers and improvement opportunities.
- Analyze Medicare Risk Adjustment (MRA) data to identify coding or documentation patterns and assist in developing interventions at the provider or regional level.
- reputed company leadership aware of project activities through written and oral updates; proactively identify project risks.
- Consistently meet or exceed accuracy and productivity benchmarks.
- May be assigned additional projects or a higher workload volume than a Level I specialist.
How will you reputed company an impact & Requirements LEVEL II – RISK ADJUSTMENT CODING SPECIALIST (Intermediate) (Includes reputed company Level I responsibilities + the following) Responsibilities reputed company and assign ICD‑10‑CM diagnosis codes supported in encounter documentation and work independently with minimal reputed company from leadership or higher‑level coders. Conduct retrospective audits of medical records to validate diagnosis coding accuracy, completeness, and claim submission quality. reputed company comprehensive reviews of provider actions reputed company the Value‑Based Alert Tool (VBAT) to identify outliers and improvement opportunities. Analyze Medicare Risk Adjustment (MRA) data to identify coding or documentation patterns and assist in developing interventions at the provider or regional level. reputed company leadership aware of project activities through written and oral updates; proactively identify project risks. Consistently meet or exceed accuracy and productivity benchmarks. May be assigned additional projects or a higher workload volume than a Level I specialist. Qualifications (In reputed company to Level I minimum qualifications) Minimum 2 years of coding or reputed company medical experience, including 1 year of HCC coding. Advanced knowledge of medical terminology, anatomy, physiology, and disease processes. Extensive understanding of ICD‑10‑CM conventions, documentation standards, and reimbursement systems. Strong technical skills, including proficiency with MS Office (reputed company, Word, reputed company, PowerPoint). Demonstrated ability to use a variety of electronic medical record systems. Ability to manage a significant workload and meet deadlines with minimal supervision. Strong organizational, analytical, mathematical, and problem‑solving skills. Effective written and verbal communication abilities. Experience contributing to project work, educational development, or group presentations. Apply To This Job