Risk Adjustment Representative 2 - Remote

Overview

The Risk Adjustment Representative 2 plays a crucial role in ensuring the accuracy of medical coding and compliance with regulations, contributing to the overall health care quality.

In Short

• Conducts quality assurance audits of medical records and ICD-9/10 codes.
• Ensures coding accuracy supported by clinical documentation.
• Follows state and federal regulations and internal policies.
• Participates in provider education programs on coding compliance.
• Works under minimal direction with defined quality standards.
• Requires a High School Diploma and 1+ years of customer service experience.
• Proficient in Microsoft Office applications.
• Must have reliable transportation and valid state driver's license.
• Ability to travel up to 60% of the time.
• Remote position with occasional travel for training or meetings.

Requirements

• High School Diploma.
• 1 or more years of customer service experience.
• Knowledge of medical record terminology.
• Experience in health care environment/managed care.
• Strong written and verbal communication skills.
• Organizational and time management skills.
• Knowledge of ICD-9/10 coding preferred.
• Must live in the state of Wisconsin.
• Valid state driver's license and vehicle insurance required.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Generous paid time off and holidays.
• Short-term and long-term disability insurance.
• Life insurance and other opportunities for personal wellness.