2 crc certified risk adjustment coder jobs found in Phoenix, AZ

*Risk Adjustment Coding Auditor* Overview We are seeking a detail-oriented *Risk Adjustment Coding Auditor* to support the accuracy, integrity, and compliance of clinical coding data across risk adjustment programs. In this role, you will conduct audits, review medical record documentation, identify coding opportunities, and provide guidance on coding accuracy to help support compliant reporting and appropriate reimbursement. The ideal candidate will bring extensive HCC coding and risk adjustment auditing experience, strong analytical skills, and a thorough understanding of Medicare, Medicaid, and ACA risk adjustment models. Key Responsibilities * Perform retrospective and prospective chart reviews to evaluate risk adjustment diagnosis coding accuracy. * Audit medical records to verify the completeness, specificity, and appropriateness of reported diagnoses. * Review clinical documentation to ensure accurate HCC capture and risk adjustment reporting. * Evaluate coding...

Centauri Health Solutions, Inc. in Tempe, Arizona, is seeking a skilled Risk Adjustment Coder to enhance healthcare data quality. This role requires certified professionals who can perform accurate coding and documentation improvements, working primarily with Medicaid lines. Candidates must possess a minimum of 3 years of coding experience with relevant credentials like CRC or CPC. The job offers comprehensive benefits, including medical coverage and a 401(k) plan with company match. #J-18808-Ljbffr