AAPC is hiring a
Risk Adjustment Clinical Quality Specialist

Summary

Join our team as a Risk Adjustment Clinical Quality Specialist in a remote role, overseeing quality programs, developing training materials, and ensuring accuracy in ICD-10-CM coding. With a minimum of 5 years of risk adjustment auditing experience, you'll be responsible for maintaining confidentiality, integrity, and availability of protected health information.

Requirements

• Minimum 5 years of risk adjustment auditing experience
• Up to 1 year working in a clinical office
• Extensive ICD-10-CM coding and auditing experience, particularly with Risk Adjustment
• Excellent written and verbal communication skills
• Ability to “own” an entire project
• Detail oriented and deadline driven attitude
• Ability to think critically and determine the best method for completing tasks
• Strong computer skills (Excel, Word, EMR systems, and internet)
• Ability to multitask and keep a sense of urgency
• Excellent customer service skills
• Strong time management, organization skills, and work ethic

Responsibilities

• Oversee clinical risk projects including pre-visit and post-visit reviews ensuring accuracy and timely delivery of product
• Develop and maintaining quality program, keen metrics and training material
• Review auditor and coder’s work for accuracy of ICD-10-CM codes for Risk Adjustment
• Provide support to project leads and other staff as needed
• Train new staff on client specific Risk Adjustment guidelines, process and expectations
• Research regulatory guidelines for supporting documentation
• Prepare coding reports using excel
• Meet department production and quality standards
• Prepare oral and/or written reports of work activity to Supervisor
• Be responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information. Follow HIPAA security policies and procedures affecting your job and report any suspected or actual violation or breach
• Attend weekly team meetings

Benefits

• Competitive compensation commensurate with experience
• Comprehensive benefits package including medical, dental and vision insurance
• Health Savings Account
• Generous PTO and Holiday Pay
• 401(k) retirement plan