A Risk Adjustment Clinical Analyst Independent Contractor is responsible for medical record documentation analysis and identifying CMS-HCC documentation/coding opportunities and compliance risks based on the Official Guidelines for Coding and Reporting, AHA Coding Clinics, disease process, procedure recognition and clinical knowledge.?
Demonstrates extensive knowledge of clinical documentation requirements based on coding guidelines that are consistent with ICD-10-CM documentation standards, along with HCC and Risk Adjustment criteria. The ideal candidate will have in-depth clinical knowledge and be well grounded in sound medical coding practices, with experience working in the CMS Medicare Advantage and/or HHS Commercial risk adjustment model.
Coding certification from AHIMA and/or AAPC; Must hold CRC certification and at least one of the following certifications: CCS, CCS-P or?CPC.
CCDS, CDIP and/or CDEO certification?preferred.
Graduate of an accredited Health Information Technology or Administration program preferred with AHIMA credential of RHIT or RHIA and/or graduate of an accredited program of nursing preferred with a minimum of 5 years of healthcare nursing experience in various clinical?areas.?
Minimum of 2 years of HCC Risk Adjustment coding and/or auditing experience and 5 years coding and /or auditing experience in a hospital or provider practice setting in a large health system required. Consulting experience?preferred.?
Experience working remotely required.
Pay average is $45 per hour