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Senior Professional Coder
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- HCC Risk Adjustment Coders will be involved with activities of code abstraction for the following programs; including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation).
- HCC Risk Adjustment Coders are required to maintain minimum 95% accuracy on coding quality audits.
- Compile chart review findings statistics, analyze data results and implement meaningful action plans that improve providers’ performance levels
- Evaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures and work flow
- Work closely with inter-departmental team management to support coding initiatives related to risk adjustment programs
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