| Risk Adjustment Data Analyst II Job Description |
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| The following is a full job description for Risk Adjustment Data Analyst II. Here are the requirements and responsibilities for Risk Adjustment Data Analyst II along with statistics. If after reading this page you determine that Risk Adjustment Data Analyst II 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 I, Risk Adjustment Data Analysis Director, Risk Modeling Analyst II, Data Analyst II, Insurance Risk Analyst II, Risk Analyst II, VP of Risk Adjustment Data Analysis, Risk Adjustment Data Analysis Manager |
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| Requirements and Responsibilities For Risk Adjustment Data Analyst II |
| 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. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2-4 years of related experience. |
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| Also referred to as: Health Risk Adjustment Analyst II, Insurance Risk Adjustment Analyst II, Insurance Risk Rating Analyst II |
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| Similar Jobs: Risk Adjustment Data Analyst III, Risk Adjustment Data Analyst I, Risk Adjustment Data Analysis Director, Risk Modeling Analyst II, Data Analyst II, Insurance Risk Analyst II, Risk Analyst II, VP of Risk Adjustment Data Analysis, Risk Adjustment Data Analysis Manager |
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| Level of Education: Risk Adjustment Data Analyst II Salaries with No Diploma, Risk Adjustment Data Analyst II Salaries with a High School Diploma or Technical Certificate, Risk Adjustment Data Analyst II Salaries with an Associate's Degree, Risk Adjustment Data Analyst II Salaries with a Bachelor's Degree, Risk Adjustment Data Analyst II Salaries with a Master's Degree or MBA, Risk Adjustment Data Analyst II Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Business Services, Edu., Gov't. & Nonprofit, Financial Services, Healthcare, Insurance | |
