Risk Adjustment Coding Advisor

February 17

fathom

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a digital creative studio

11 - 50

Description

• Working with clients to establish and maintain risk adjustment coding accuracy thresholds • Reviewing and auditing medical records and physician documentation for HCC accuracy • Conducting strategic analysis and scenario modeling across functional disciplines • Tracking, aggregating and summarizing coding and billing rules for the product team • Collaborating with engineering, product, and customer success teams on client roadmap • Providing coding education and training to internal engineering and product teams • Preparing executive presentations and reports for internal and external audiences • Developing and enhancing internal and client-facing analytics and reporting

Requirements

• Current AAPC CRC certification or AHIMA RAC microcredential • Prior experience working in healthcare, especially healthcare consulting • Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs • Working knowledge of anatomy/physiology, disease process and medical terminology • Familiarity with medications and reimbursement guidelines • Proven ability to communicate effectively across domains and experience levels • Drive to innovate, identify novel approaches, and act decisively • Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.)

Benefits

• Joining a high-growth technology firm • Opportunity to work with cutting-edge AI technology • Working in a cross-functional role across multiple disciplines