Certified Risk Adjustment Coder (crc), Senior Associate

Ankura

Base: $85,000 to $200,000; bonus/equity: not speci...
Hybrid
Review and code diagnoses per guidelines
Evaluate icd-10 cm compliance
Draft clear medical record analyses
The role involves contributing to complex investigations, whistleblower lawsuits, and payer/provider disputes using clinical and coding expertise

Job Summary

  • The role involves contributing to complex investigations, whistleblower lawsuits, and payer/provider disputes using clinical and coding expertise.
  • Candidates must evaluate compliance with established ICD-10 CM regulations and third-party reimbursement policies while maintaining strict confidentiality.
  • The position requires independent delivery of high-quality work within desired timeframes for prominent US healthcare providers and law firms.

Matching Summary

The role involves contributing to complex investigations, whistleblower lawsuits, and payer/provider disputes using clinical and coding expertise.

Salary

Base: $85,000 to $200,000; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Review and code diagnoses per guidelines
  • Evaluate ICD-10 CM compliance
  • Draft clear medical record analyses
  • Manage multiple client projects simultaneously
  • Maintain attorney-client privilege

Nice-to-have

  • Project management capabilities
  • Cross practice collaboration skills
  • Presentation and writing proficiency
  • Fast-paced environment adaptability
  • Remote work capability

Key Requirements

  • Certified in Risk Adjustment Coding (CRC)
  • Five years experience in HCC/Risk Adjustment or RADV Audit
  • Associate's or Bachelor's degree preferred
  • Legal authorization to work in the United States without sponsorship

Work Rights

Must be legally authorized to work in the United States

Tailored Resume

Cover Letter