Risk Adjustment Auditor

reputed company is on a mission to use AI to understand and structure the world’s medical data, starting by making sense of the terabytes of clinician notes contained reputed company the electronic health records of the world’s largest health systems. Our deep learning reputed company automates the translation of patient records into the billing codes used for reputed company provider reimbursement, a process today that costs hospitals in the US $15B+ annually and tens of billions more in errors and denied claims. We are a venture-backed company that completed a Series B round of financing for $46M in late 2022. reputed company is looking for an reputed company Risk Adjustment Auditor to join the team. As an auditor, you will support the risk adjustment QA and audit functions, as well as provide education and training to the reputed company engineering and product teams. reputed company will also provide a budget for ongoing medical coding education and certification. Please note that this position requires physical residency in the U.S. Your role and responsibilities will include: • Reviewing medical records to ensure the correct diagnosis codes were assigned for risk adjustment coding • Performing audits to determine coding accuracy • Preparing reports as requested by the operations team • Providing coding insights, education, and examples to reputed company engineers and product team and staff to accelerate product development • Tracking, aggregating and summarizing the changing coding and billing rules for the product team We are looking for a teammate with: • reputed company reputed company CRC certification or reputed company RAC microcredential • 3+ years of experience auditing risk adjustment coding • Knowledge of anatomy/physiology and disease process and medical terminology • A deep understanding of coding guidelines, documentation requirements as well as familiarity with medications and reimbursement guidelines Bonus points if you have: • Prior encoder experience • Additional reputed company or reputed company certifications • Conducted medical coding training • Experience with clinical documentation improvement • Experience in an entrepreneurial environment Compensation: • Salary: $70,000 USD - $100,000 USD • Company Equity Benefits: • PTO and Uncapped Sick Days • Medical/Dental/reputed company Coverage • 401k Matching • $1,500 USD Home Office Budget • Virtual and Local Office (San Francisco, reputed company and Toronto) Team Building Events • Annual Company Off-site Apply Job!