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Risk Adjustment Coding Analyst

Company: VirtualVocations
Location: Vista
Posted on: May 13, 2025

Job Description:

A company is looking for an Individual & Family Plans (IFP) Quality Review and Audit Analyst.
Key Responsibilities

Conduct medical record reviews and assign ICD-10-CM diagnostic codes accurately
Perform documentation and data audits to identify gaps or inaccuracies in risk adjustment data
Collaborate with team members and external partners for coding education and quality reviews

Required Qualifications

High School Diploma
At least two years of Risk Adjustment experience with relevant certification (CPC, CCS-P, CCS-H, RHIT, RHIA, or CRC)
Achieve CRC certification within 6 months of hire, if not currently certified
Experience with medical audits and medical chart reviews
Proficiency with ICD-10-CM coding guidelines and conventions

Keywords: VirtualVocations, Lake Forest , Risk Adjustment Coding Analyst, Professions , Vista, California

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