Job Details

A company is looking for a Manager - Risk Adjustment to oversee risk adjustment initiatives and ensure compliance with documentation standards.Key ResponsibilitiesOversee daily operations of coding and review teams, ensuring effective strategies and data capture processesCollaborate with providers and leadership to implement risk adjustment education and programs for accurate condition captureManage regional provider incentive programs and ensure compliance with regulatory guidelinesRequired QualificationsBachelor's DegreeCurrent AAPC or AHIMA certification (e.g., CCS, CPC)5 years of experience in risk adjustment, project management, or operations in healthcare5 years of managerial or supervisory experienceExperience with health plan guidelines and value-based revenue initiatives