Coding Manager, Risk Adjustment

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Location: REMOTE
Description: Judge Group is currently seeking a Coding Manager, Risk Adjustment to manage coding and process improvement for risk adjustment projects.

This is a direct hire opportunity offering competitive compensation and benefits!

This job will have the following responsibilities:

  • Reviews submitted medical records to identify ICD-10-CM diagnoses
  • Codes all diagnoses and services accurately and completely
  • Accurately records all appropriate data and records
  • Complies with policies and procedures
  • Supports coordination with customers, internal coding team and vendors on coding guidelines and chart reviews
  • Hire, train, manage, and evaluate internal coding team
  • Validate and abstract risk adjustment specific diagnosis codes
  • Flag documentation that is unacceptable for submission
  • Accurately validate and abstract diagnosis codes from provider documentation in medical records
  • Analyzes and translates medical and clinical diagnoses, procedures, injuries, or illnesses
  • Knowledgeable of medical and clinical terminology, disease processes, and pharmacology
  • Complete assignments according to established guidelines and schedules

Qualifications & Requirements:

  • AAPC or AHIMA Certification Required (CPC, CCS)
  • 5+ years of Risk Adjustment Coding experience
  • 3+ years managing a risk adjustment coding team
  • Extensive knowledge of ICD-10-CM coding guidelines.


All interested candidates should email their resume to Dave Friedman at [email protected].

Contact: [email protected]

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

More Information on The Judge Group
The Judge Group operates in the Consulting industry. The company is located in Wayne, PA, Philadelphia, PA, Matawan, NJ, New York, NY, Waltham, MA, Providence, RI, Southfield, MI, Westerville, OH, Vienna, VA, Richmond, VA, Charlotte, NC, Atlanta, GA, Jacksonville, FL, Tampa, FL, Chicago, IL, St Louis, MO, Edina, MN, Kansas City, MO, Austin, TX, Dallas, TX, Bentonville, AR, Denver, CO, Phoenix, AZ, Irvine, CA, San Francisco, CA and Tacoma, WA. The Judge Group was founded in 1970. It has 1928 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Dental insurance, Health insurance, 401(K), Performance bonus and Paid holidays. To see all jobs at The Judge Group, click here.
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