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Medicare Risk Adjustment Coding Auditor

Alignment Health

Alignment Health is a fast-growing health care organization focused on serving seniors and individuals who need it most. This role supports quality assessment audits for the internal Coding Analyst team and vendors to ensure accurate and complete data is submitted to CMS.

This is a remote position.

The role involves reviewing risk adjustment related data audits, identifying opportunities for improvement, and supporting training, documentation improvement, and process enhancements based on audit findings.

Requirements & Qualifications

Minimum of 3 years of Medicare Risk Adjustment coding experience in a medical group or health plan setting.

High school diploma or GED required.

Completion of a medical coding training program required.

Technical school or courses required to become a certified coder.

Preferred: Bachelor's degree in Business Administration, Health Care Management, or a related field.

Required certification: CCS, CCS-P, CPC, or CRC.

Required skills and knowledge:

  • Proficiency in Microsoft Office Suite, especially Excel, Word, and Outlook
  • Previous experience with Epic, Allscripts, and EZCap
  • Strong verbal and written communication skills
  • Ability to collaborate, teach, and provide leadership
  • Strong mathematical, analytical, and problem-solving abilities
  • Ability to prioritize multiple tasks in a fast-paced environment
  • Ability to analyze statistical reports and data quality issues

Location

California, US

Employment Type

Full-time

Experience Level

Intermediate Level

Salary Range

$64,384 - $96,577

Remote work allowed

Yes

Posted

1 month ago

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