Director, Risk Adjustment

🔥 11 minutes ago

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IKS Health

10,000+ employees

☁️ SaaS

🤝 B2B

🤖 Artificial Intelligence

💰 Seed on 2006-12

SaaS • B2B • Artificial Intelligence

IKS Health is a healthcare technology company that provides an AI-driven care enablement platform and services to health systems, physician enterprises, ambulatory practices and specialty clinics. Their offerings include revenue cycle management, clinical documentation (ambient AI scribe, virtual medical scribing, transcription), denial prediction, medical coding and audits, patient access solutions, care coordination and value-based care optimization, combining agentic AI with human expertise to improve clinical workflows, reduce clinician burden, and enhance financial performance.

📋 Description

• Serve as primary operational partner for external clients across medical groups and health systems • Lead regular performance reviews and present complex risk adjustment data • Directly manage a department of 70+ production coders and auditors • Establish, monitor, and optimize department KPIs regarding coding/auditing accuracy

🎯 Requirements

• BA/BS or equivalent education • Active Certified Risk Adjustment Coder (CRC) preferred • 9+ years of progressive experience in risk adjustment operations • 3–5 years of direct management experience over a large workforce (50+ coders and auditors) • Expert-level understanding of the end-to-end CMS-HCC Medicare risk coding model • Proven experience collaborating with software development teams, UX designers, or engineers

🏖️ Benefits

• healthcare • 401 (k) • paid time off

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