Risk Adjustment QA Coordinator

Role Overview

• Perform quality assurance reviews on risk adjustment data submitted to CMS.
• Evaluate coding accuracy using ICD‑10 Guidelines and internal policies.
• Provide constructive, compassionate, and actionable feedback to coders.
• Partner with leadership to identify trends and recommend quality improvements.
• Support the development of educational materials and training initiatives.
• Contribute to overall compliance and documentation integrity.

Requirements

• Associates degree in related healthcare field or equivalent years of experience
• 1 year
• Progressive medical coding and health care experience required
• Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA)
• Proficient in MicroSoft Office (Outlook, Word, Excel, Access and PowerPoint)
• Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year after completed training

Benefits

• Health insurance
• Flexible work arrangements
• Professional development opportunities