| Risk Adjustment Data Analyst I Job Description |
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| The following is a full job description for Risk Adjustment Data Analyst I. Here are the requirements and responsibilities for Risk Adjustment Data Analyst I along with statistics. If after reading this page you determine that Risk Adjustment Data Analyst I is not the position you are looking for, you may want to try one of these similar titles: Risk Adjustment Data Analyst III, Risk Adjustment Data Analyst II, Data Analyst I, Insurance Risk Analyst I, Risk Management Analyst I - Healthcare, Risk Analyst I, Risk Adjustment Data Analysis Director, Business Data Analyst I, VP of Risk Adjustment Data Analysis |
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| Requirements and Responsibilities For Risk Adjustment Data Analyst I |
| 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. 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. Supports audits and data validation activities to ensure compliance with risk adjustment program requirements. Requires a bachelor's degree. Typically reports to a manager. Work is closely managed. Works on projects/matters of limited complexity in a support role. Typically requires 0-2 years of related experience. |
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| Also referred to as: Health Risk Adjustment Analyst I, Insurance Risk Adjustment Analyst I, Insurance Risk Rating Analyst I |
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| Similar Jobs: Risk Adjustment Data Analyst III, Risk Adjustment Data Analyst II, Data Analyst I, Insurance Risk Analyst I, Risk Management Analyst I - Healthcare, Risk Analyst I, Risk Adjustment Data Analysis Director, Business Data Analyst I, VP of Risk Adjustment Data Analysis |
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| Level of Education: Risk Adjustment Data Analyst I Salaries with No Diploma, Risk Adjustment Data Analyst I Salaries with a High School Diploma or Technical Certificate, Risk Adjustment Data Analyst I Salaries with an Associate's Degree, Risk Adjustment Data Analyst I Salaries with a Bachelor's Degree, Risk Adjustment Data Analyst I Salaries with a Master's Degree or MBA, Risk Adjustment Data Analyst I Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Business Services, Edu., Gov't. & Nonprofit, Financial Services, Healthcare, Insurance | |
