LanceSoft
Job Description: Resource will be required to come onsite- 1 time a week This engagement requires a highly skilled Risk Adjustment Business Analyst who can bridge regulatory requirements with operational execution across Medicare Advantage and other risk-bearing programs. Required Experience Should have solid understanding in Risk assessments and auditing in Medicare Advantage. Build reports using the data that is available Look at the reports and summarize if the reports are correct and check for accuracy Business Analysis - Tableau reporting - Combine Workbooks in Excel Diagnosis and Coding - CMS - Medical Records coding and reports Education: Bachelor's degree in healthcare administration, business, data science, or a related field with strong quantitative and analytical coursework Certified Professional in Healthcare Information & Management Systems (CPHIMS), Certified Professional Medical Auditor (CPMA), or certifications related to specific risk adjustment models (e.g., Medicare Advantage) may also be preferred or beneficial. CRC certified