HCC Coder / Risk Adjustment
MINIMUM 1 YEAR OF HCC / RISK ADJUSTMENT EXPERIENCE.
* Capture Risk Adjustment (RA) Part C (medical) HCC and Part D (drug) Rx HCC codes per project specific instructions
* Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting.
* Performs quality reviews of coding in support of the risk adjustment process.
* Verifies and ensures the accuracy, completeness, specificity and appropriateness of provider-reported diagnosis codes based on medical record documentation.
* Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories..
TO FURTHER DISCUSS THIS OPPORTUNITY, PLEASE SEND US YOUR UPDATED MS WORD FORMATTED RESUME.