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Risk Adjustment Coding Auditor

Artech LLCOakland, CA

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Job Description

Job Title: Risk Adjustment Coding Auditor

Office Location: Fully Remote (1 Healthcare Plaza, Oakland, CA for reference). Education Requirements:

  • Required: BA degree or additional 4 years of relevant work experience.

  • Preferred: Certified Coding Professional (CCP) and subject matter expert in risk adjustment coding.

Experience Requirements:

  • Required: 5+ years of extensive coding audit experience in risk adjustment.

Systems Knowledge:

  • Required: General Client Office (Outlook, Teams), email.

  • Preferred: EPIC (HealthConnect), 3M for coding.

Shift:

  • 8:00 AM 5:00 PM

Interview Process:

  • Step 1: Telephone screening.

  • Step 2: Teams meeting for final interview.

Job Description:

The Risk Adjustment Coding Auditor performs coding audits by reviewing medical record documentation and applying official coding guidelines and other relevant standards as they apply to risk adjustment.

Typical Day-to-Day:

  • Conducting risk adjustment chart reviews based on audit protocols.

  • Utilizing the ICD-10 Official Guidelines for Coding and Reporting and AHA Coding Clinic for accurate coding.

  • Ensuring compliance with all relevant coding regulations and ensuring data accuracy.

1. Review documents, perform QA 2. Prepare for documents submission to regulators. 3. Track document status and report out on status to PM. Top 3-5 Required Skills: 1. Bachelor s Degree 2. Detail Oriented 3. Relevant work experience 2-4 years. Desired Skills: 1. Proficient in MS office. 2. Proficient in PDF/redacting documents 3. Works well independently. Soft Skills: 1. Communication. 2. Problem solving. 3. Flexibility/Adaptability.

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FAQs About Risk Adjustment Coding Auditor Jobs at Artech LLC

What is the work location for this position at Artech LLC?
This job at Artech LLC is located in Oakland, CA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Artech LLC?
Employer has not shared pay details for this role.
What employment applies to this position at Artech LLC?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at Artech LLC?
You can apply for this role at Artech LLC either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.