**Job Description:**
This Position is an entry-level role in Risk Adjustment and will learn to demonstrate general proficiency in the areas of Risk Adjustment Coding for highly regulated government insurance programs such as Medicare Advantage (MA), Medicaid, and the Affordable Care Act (ACA). This analyst will audit approved clinical documentation post-visit to ensure accurate coding practices according to general and risk adjustment coding guidelines as established by the Centers for Medicare and Medicaid (CMS) and Health and Human Services (HHS). Continued employment is dependent on the candidate obtaining CRC Certification from AAPC within 1 year of hire.
**Job Essentials**
1. Reviews clinical documentation to monitor coding practices and ensure accurate coding and reimbursement. Ensures review decisions are in line with Centers for Medicare and Medicaid (CMS) as well as internal department guidelines.
2. Supports higher level analysts in their responsibilities and re...