Risk Adjustment Coding Analyst - Precision & Compliance

ASAS Health; Laredo (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization in Laredo, Texas is seeking a Certified Risk Adjustment Coding Analyst to optimize coding accuracy and ensure compliance with risk adjustment guidelines. The ideal candidate will have at least three years of experience in risk adjustment coding, hold relevant certifications, and possess strong analytical and communication skills. This full-time role involves collaborating with healthcare teams to enhance documentation and coding practices.

Qualifications

• Minimum of three years’ experience in risk adjustment coding.
• Strong knowledge of ICD-10-CM coding guidelines and CMS regulations.
• Experienced in conducting audits and validations for risk adjustment accuracy.

Responsibilities

• Accurately assign diagnostic codes (ICD-10-CM) from clinical documentation.
• Ensure coding adheres to official guidelines and payer policies.
• Conduct audits of medical records to verify code accuracy.

Skills

ICD-10-CM coding guidelines

HCC coding

CMS regulations

Analytical skills

Communication skills

Collaboration skills

Education

Certified Professional Coder (CPC)

Certified Risk Adjustment Coder (CRC)

Minimum of three years' experience in risk adjustment coding

Tools

EHR systems like Elation

EHR systems like Athena

AI applications like Ambiance

Job description

A healthcare organization in Laredo, Texas is seeking a Certified Risk Adjustment Coding Analyst to optimize coding accuracy and ensure compliance with risk adjustment guidelines. The ideal candidate will have at least three years of experience in risk adjustment coding, hold relevant certifications, and possess strong analytical and communication skills. This full-time role involves collaborating with healthcare teams to enhance documentation and coding practices.