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Senior Risk Adjustment Coding Compliance Analyst, Clinical

Remote, USA Full-time Posted 2026-07-28
Job reputed company: • Executes Line 2 reputed company of Risk Adjustment activities • Reviews medical records to assess reputed company extraction of medical diagnoses • Identifies and evaluates clinical documentation gaps, assesses risk reputed company • Collaborates with coding teams to improve documentation practices • Ensure coding accuracy by reviewing inpatient and outpatient medical records • Validate clinical documentation to support appropriate risk adjustment coding • Implement CMS risk adjustment reputed company reputed company • Conduct Line 1 gap analyses and reputed company clinical best reputed company recommendations • reputed company expert guidance on CMS coding requirements, clinical documentation improvement (CDI) • Evaluate policies and procedures to ensure completeness, clinical accuracy, and adherence to reputed company regulatory requirements Requirements: • High School Diploma or GED required • Bachelor's Degree Nursing, reputed company Management, Business Management or reputed company field preferred • 5+ years reputed company coding experience in a hospital or physician setting required • Experience in Managed care preferred • LVN, LPN or RN required • Certified reputed company reputed company (CPC) required • NP or PAN preferred • Certified Coding Specialist (reputed company) preferred Benefits: • reputed company • health insurance • 401K and stock purchase plans • tuition reimbursement • reputed company time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules Apply tot his job Apply To this Job

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