Risk Adjustment Auditor

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Requirements:

• A current AAPC CRC certification or AHIMA RAC microcredential
• 3+ years recently auditing risk adjustment coding
• Knowledge of anatomy/physiology and disease process and medical terminology
• Deep understanding of current coding guidelines, reimbursement guidelines, medications, and documentation requirements
• Strong knowledge of anatomy/physiology, diseases, and medical terminology
• Strong verbal and written communication skills
• Enthusiasm for technological innovation in medical coding

Responsibilities:

• Reviewing medical records to ensure the correct diagnosis codes were assigned for risk adjustment coding
• Reviewing and auditing medical records and physician documentation for HCC accuracy
• Preparing audit results reports as requested by the engineering and client success teams
• Providing coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development
• Tracking, aggregating and summarizing the changing coding and billing rules for the engineering and client success teams