Mercor is seeking a Senior Risk Adjustment and HCC Coding leader to direct operations across Medicare Advantage, Medicaid, and ACA programs. You will evaluate AI-generated HCC coding and risk adjustment recommendations for clinical accuracy and regulatory compliance.
You will review medical records, oversee chart reviews, manage RADV audit preparation, monitor KPI like capture rates and score accuracy, and collaborate with clinical and compliance teams to improve documentation and coding aligned
#J-18808-LjbffrRemote AI-Driven Risk-Adjustment & HCC Lead in workfromhome at Unknown Company
This position is listed as full time and onsite.