Remote Medicare Risk Adjustment Coding Expert

American Health Plans is seeking a Medicare Risk Adjustment Coding Specialist to conduct coding audits and perform post-payment coding reviews to ensure compliance with CMS regulations. This remote role requires strong knowledge of ICD-9 and ICD-10 coding, experience with Medicare and Medicaid claims, and excellent communication skills. Ideal candidates will be certified in coding (CPC or CRC) and possess at least two years of relevant experience in claims processing or coding auditing.

A collaborative mindset and the ability to work independently are essential for success in this role.
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