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Lead Risk Adjustment & HCC Coding AI Systems
Job in
Long Beach, Nassau County, New York, 11561, USA
Listed on 2026-08-30
Listing for:
Mercor
Full Time
position Listed on 2026-08-30
Job specializations:
-
Healthcare
Healthcare Compliance
Job Description & How to Apply Below
Mercor seeks experienced Risk Adjustment and HCC Coding leaders to guide AI-enabled risk capture improvements for Medicare Advantage, Medicaid managed care, and ACA markets. You will evaluate AI outputs, oversee chart reviews, and drive regulatory compliance across CMS guidelines.
You will collaborate with clinical, coding, and compliance teams to optimize documentation capture and risk score accuracy, while leading RADV preparedness and KPI monitoring in a fast-paced AI research environment.
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