Risk Adjustment Data Analyst III
Risk Adjustment Data Analyst III analyzes healthcare data to assess patient risk scores and ensure accurate reimbursement calculations. Utilizes patient health factors, their likely use of health care services, and the costs of those services to calculate payment adjustments, forecast revenue impacts, and identify coding gaps. Being a Risk Adjustment Data Analyst III reviews medical claims, encounter data, and electronic health records to ensure proper coding of diagnoses and accurate reporting to government healthcare programs. Prepares reports on risk adjustment performance and recommends strategies to optimize financial performance while maintaining regulatory compliance. Additionally, Risk Adjustment Data Analyst III supports audits and data validation activities to ensure compliance with risk adjustment program requirements. Requires a bachelor's degree. Typically reports to a manager. The Risk Adjustment Data Analyst III work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be a Risk Adjustment Data Analyst III typically requires 4-7 years of related experience.
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- Risk Adjustment Data Analyst III Salaries with No Diploma
- Risk Adjustment Data Analyst III Salaries with a High School Diploma or Technical Certificate
- Risk Adjustment Data Analyst III Salaries with an Associate's Degree
- Risk Adjustment Data Analyst III Salaries with a Bachelor's Degree
- Risk Adjustment Data Analyst III Salaries with a Master's Degree or MBA
- Risk Adjustment Data Analyst III Salaries with a JD, MD, PhD or Equivalent
