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Certified Risk Adjustment Coding Analyst

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Job Description

We are seeking a Certified Risk Adjustment Coding Analyst to support accurate medical coding and ensure compliance with risk adjustment guidelines. This role plays a vital part in optimizing coding accuracy for ASAS Health while supporting revenue integrity and regulatory compliance. The ideal candidate will have a strong background in medical coding, risk adjustment methodologies, and data validation processes.

Essential Functions

Medical Coding : Accurately assign diagnostic codes (ICD-10-CM) from clinical documentation following risk adjustment guidelines (Medicare Advantage, Medicaid, ACA, etc.).

Compliance & Accuracy : Ensure coding adheres to official coding guidelines, payer policies, and regulatory standards.

Chart Reviews : Conduct audits of medical records to verify code accuracy, identify discrepancies, and support compliance efforts.

Provider & Team Support : Collaborate with physicians, billers, coders, and clinician teams to enhance documentation and educate on risk adjustment best practices.

Data Analysis : Monitor coding trends, conduct data validation, and generate reports to assess risk scores and financial impact.

Continuous Learning : Stay up to date with regulatory changes, coding guidelines, and industry updates affecting risk adjustment coding. Always maintain active coding certification.

Education and Experience

• Minimum of three years' experience in risk adjustment coding. Preferred five years of experience in health care coding.
• Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent certification required.

Knowledge, Skills, and Abilities

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!