Medicare Risk Adjustment (MRA) Quality Analyst

Summary:

• Provides ongoing Medicare Risk Scoring Review and audits medical coding data
• Reviews the work of coding staff to verify accuracy of  Hierarchical Condition Category (HCC) Coding and Quality/HEDIS measures
• Conducts analysis to evaluate the accuracy and efficiency of coding practices
• Contributes to the development of codes for patient billing
• Provides coders with feedback on performance results
• May also be required to provide training and education

Requirements:

• Bachelor's Degree, certification as a medical coder and/or medical coding auditor (CPC/CPMA), and Certified Risk Adjustment Coder (CRC)
• Minimum 3-5 years coding experience with Medicare Risk Adjustment
• Must be computer literate and skilled in usen Microsoft Excel
• Excellent communication skills
• Ability to multi-task
• Ability to work well with other coders, management, and medical providers
• Have a strong knowledge of CPT and ICD-10 codes
• Attention to detail is extremely important in order to ensure accuracy