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Risk Adjustment Coding & Compliance Expert

Blue Shield of California

Blue Shield of California seeks a Risk Adjustment Compliance Coding Specialist (Consultant) to ensure accurate coding for ACA, Medi-Cal, and Medicare Advantage programs. You will review clinical documentation, assign ICD-10-CM codes including HCCs, and support audits to maintain regulatory compliance and proper reimbursement. The role requires a bachelor’s degree and CRC/CPC/CCS or equivalent, 6+ years in healthcare coding/compliance, proficiency with EHR systems and CMS guidelines, and #J-18808-Ljbffr Blue Shield of California

Vacancy posted 3 days ago
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