Risk Adjustment Coder
Tufts University School of Dental Medicine
full-time
Posted on:
Location Type: Remote
Location: Massachusetts • United States
Visit company websiteExplore more
Salary
💰 $72,371 - $90,464 per year
About the role
- Performs accurate and timely reviews and validations of Medicare, Medicaid, Commercial HCCs and DxCG’s through medical record reviews.
- Reviews provider documentation for ICD-10-CM codes.
- Summarizes findings for internal and external parties and provides provider education when necessary.
- Performs ongoing audits of medical records to ensure coding accuracy.
- Collaborates with Director Risk Adjustment Operations/NEQCA staff and vendors to identify and submit coding adjustments.
Requirements
- Certified Risk Adjustment Coder (CRC) OR must obtain within first 12 months of employment.
- Two (2) years of outpatient billing, coding, and risk adjustment experience.
- Associate’s degree preferred.
- Certified Risk Adjustment Coder (CRC) highly preferred.
- Two (2) years of outpatient billing, coding, risk adjustment, and primary care adult medicine experience.
Benefits
- 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingmedical record reviewcoding accuracyoutpatient billingrisk adjustment
Soft Skills
collaborationcommunicationprovider education
Certifications
Certified Risk Adjustment Coder (CRC)