03/09/2026
๐ช๐โ๐ฅ๐ ๐๐๐ฅ๐๐ก๐: ๐ฅ๐ถ๐๐ธ ๐๐ฑ๐ท๐๐๐๐บ๐ฒ๐ป๐ ๐๐ป๐ฎ๐น๐๐๐ (๐๐๐น๐น-๐ง๐ถ๐บ๐ฒ | ๐ช๐ผ๐ฟ๐ธ ๐๐ฟ๐ผ๐บ ๐๐ผ๐บ๐ฒ)
๐๐ฏ๐ผ๐๐ ๐๐ต๐ฒ ๐ฅ๐ผ๐น๐ฒ
We are looking for a highly analytical and detail-oriented Risk Adjustment Analyst to join our growing team. In this full-time, remote role, you will play a key part in supporting reporting, analytics, and process improvement initiatives within the Risk Adjustment department. The role focuses on ensuring reporting accuracy, maintaining data integrity, supporting audits, and collaborating with cross-functional teams to optimize RAF performance in a fast-paced environment.
๐๐ฒ๐ ๐๐๐๐ถ๐ฒ๐ & ๐ฅ๐ฒ๐๐ฝ๐ผ๐ป๐๐ถ๐ฏ๐ถ๐น๐ถ๐๐ถ๐ฒ๐
โข Maintain and develop risk adjustment reports and dashboards
โข Analyze RAF trends and communicate insights to coders, leadership, and provider partners
โข Reconcile data across visits, CDI reviews, coding, billing, and claims (CCLF)
โข Validate data accuracy and collaborate with technical teams to improve data quality
โข Support RADV and other audits through preparation and documentation
โข Conduct root cause analysis to identify discrepancies and data gaps
โข Develop tracking tools, datasets, and performance reports
โข Coordinate data releases, file specifications, and system updates
โข Assist with presentations and risk adjustment materials
๐ฅ๐ฒ๐พ๐๐ถ๐ฟ๐ฒ๐ฑ ๐ฆ๐ธ๐ถ๐น๐น๐ & ๐ค๐๐ฎ๐น๐ถ๐ณ๐ถ๐ฐ๐ฎ๐๐ถ๐ผ๐ป๐
โข Strong knowledge of Risk Adjustment, diagnosis, claims, and RA data models
โข In-depth understanding of ICD-10-CM outpatient coding guidelines
โข Advanced Microsoft Excel skills
โข Excellent analytical, problem-solving, and data validation abilities
โข Experience supporting RADV or audit processes is preferred
โข Ability to meet tight deadlines while maintaining high accuracy
โข Strong written and verbal communication skills
โข Ability to work independently in a remote environment
โข High level of discretion when handling confidential information
โข Comfortable working in an evolving or start-up environment
๐ช๐ต๐ ๐๐ผ๐ถ๐ป ๐๐ฉ๐๐ถ๐ฑ๐ฒ?
โข Full-time work-from-home opportunity
โข Work with international healthcare teams
โข Supportive, performance-driven, and collaborative culture
โข Long-term career opportunity with room for growth
๐๐ฃ๐ฃ๐๐ฌ ๐ก๐ข๐ช
Send your resume to [email protected]
Use the subject line: HVAide Risk Adjustment Analyst Applicant [Your Name]