[Hiring] Retrospective Risk Adjustment Chart Reviewer @New Age Software Services Corporation

Role Description

Our client is a growing risk adjustment company looking for motivated candidates with a clinical and coding background to join our team of senior coders/nurses. As a Retrospective Risk Adjustment Reviewer, you would be responsible for:

• Reviewing medical records
• Evaluating and assessing provider documentation
• Submitting supported ICD-10 diagnosis codes according to specified guidelines

Chart review performed remotely via Electronic Health Record (EHR).

Qualifications

• In-depth knowledge of medical terminology, ICD-10 coding, and Risk adjustment
• Retrospective review - HCC coding
• Medical chart review experience, preferably Epic
• Basic concepts of human anatomy, physiology, and pathology
• Ability to work with accuracy and attention to detail
• Excellent understanding of clinical documentation requirements and coding guidelines

Requirements

• Minimum 8 years of experience in risk adjustment or medical chart review
• ICD-10/ICD-9 coding background
• Clinical Background, e.g., RN, NP, PA, MD
• Certified Professional Coder (CPC)
• Certified Risk Coder (CRC)

Education

• Associate’s degree (or equivalent combination of formal education and experience) required
• Bachelor’s Degree preferred