The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
The Medical Records Retrieval Specialist performs moderately complex administrative and operational tasks in a remote and field based, structured environment, with a focus on accuracy, compliance, and efficiency.