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Risk Adjustment Auditor
2 months ago
Our client is in search of a skilled Risk Adjustment Auditor to enhance their auditing team on a contractual basis. The perfect candidate will be a team player, detail-oriented, and focused on process improvement.
Work Environment:
This position is fully remote, available to residents of specific states.
Core working hours are required in the Pacific Time Zone, with the possibility of overtime and weekend work.
Key Responsibilities:
1. Conduct thorough chart reviews to verify the precision of risk adjustment reporting.
2. Detect and report trends in provider coding and documentation practices.
3. Assist in risk mitigation assessments.
4. Stay updated on regulatory standards and industry best practices.
5. Contribute to ongoing enhancements in processes and systems.
Qualifications:
- Required certifications: CPC and CRC.
- Minimum of 2 years’ experience in risk adjustment coding or auditing.
- In-depth knowledge of ICD-9-CM/ICD-10 coding guidelines.
- An associate degree in Healthcare or a related discipline is advantageous.
- Proficiency in ERP systems (such as Epicor) and intermediate to advanced skills in Excel.
- Must possess a proactive and organized approach with exceptional attention to detail and accuracy.
- Strong analytical abilities with critical thinking and problem-solving skills.
Benefits:
Eligible contractors may receive benefits including medical, dental, vision, life insurance, short and long-term disability, and a matching 401k plan.
About VanderHouwen:
VanderHouwen is a recognized, Women-Owned, WBENC certified staffing firm established in 1987. We specialize in placing experienced professionals across various sectors throughout the Pacific Northwest and beyond. Our recruitment teams are experts in Technology and IT, Engineering, and Accounting and Finance.
We prioritize building meaningful, professional relationships with candidates and developing a deep understanding of our clients' staffing needs and workplace cultures.
VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. We uphold a commitment to diversity and do not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable laws.
