Risk Adjustment Analyst

Risk Adjustment Analyst
iQuartic – Remote

Job Description:

Responsible for handling multiple projects and working closely with Coding Operations and IT to optimize risk adjustment results.

Responsibilities:

• Code medical records to validate ICD-10-CM codes for Risk Adjustment.
• Provide guidance and expertise in the interpretation of, and adherence to, the rules and regulations of documentation.
• Research regulatory guidelines for coding guidelines and supporting documentation for software implementation.
• Support and participate in process and quality improvement initiatives.
• Participate in testing and training of CAC software.
• Perform analysis and reporting activities.
• Identify innovative ways to find and solve internal and customer business related issues using services and software.

Qualifications:

• Certification requirements: Active CPC or CCS and CRC.
• 3-5 years of experience in Risk Adjustment coding and clinical documentation.
• Deep understanding and knowledge on all Risk Adjustment models.
• Extensive knowledge of ICD-10-CM coding guidelines.
• Strong clinical skills related to chronic illness diagnosis, treatment and management.
• Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.
• Ability to think critically and determine the best method for completing tasks.
• Strong computer skills (MS Office, EMR systems, and internet).
• Reliability and a commitment to meeting tight deadlines.
• Personal discipline to work remotely.
• Must have high-speed Internet access, a home computer (dual monitors) with a current Windows operating system.
• Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all documentation.

Job Type: Full-time

Salary: $19.00 to $30.00 /hour

Experience:

• recent Risk Adjustment Production : 3 years (Required)

License:

• RHIT, CCS, CPC, CRC (Required)

Working Days:

• Monday (Required)
• Tuesday (Required)
• Wednesday (Required)
• Thursday (Required)
• Friday (Required)

Work Location:

Benefits:

• Health insurance
• Dental insurance
• Vision insurance
• Retirement plan
• Paid time off
• Work from home

This Job Is Ideal for Someone Who Is:

• Dependable — more reliable than spontaneous
• Adaptable/flexible — enjoys doing work that requires frequent shifts in direction
• Detail-oriented — would rather focus on the details of work than the bigger picture
• Autonomous/Independent — enjoys working with little direction
• Innovative — prefers working in unconventional ways or on tasks that require creativity

This Company Describes Its Culture as:

• Detail-oriented — quality and precision-focused
• Innovative — innovative and risk-taking

Schedule:

• Monday to Friday
• Day shift

Benefit Conditions:

Work Remotely: