Certified Risk Adjustment Director

A company is looking for a National Director, Risk Adjustment.

Key Responsibilities

Collaborate with Market and Provider Leadership to identify and implement strategies for improving coding performance

Manage projects related to complete and accurate coding, including vendor assessment and coordination of teams

Serve as the internal subject matter expert on risk adjustment models and maintain coding compliance

Required Qualifications

Bachelor's degree or equivalent work experience highly preferred

Minimum of 3 years experience in a leadership position in risk adjustment

Certified Professional Coder (CPC) required; CPC and Certified Risk Adjustment Coder (CRC) preferred

Extensive knowledge of CMS and AMA coding guidelines

Familiarity with Electronic Medical Records and healthcare billing compliance