• Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential CMS audits and medical record retrieval efforts. • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards. • Participate in CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits. • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process. • Support in the identification of document improvement opportunities for provider education in both MA and ACA line of business. • Identify process improvements to enhance medical encounter review efficiency. • Compliance with all applicable laws and regulations • Other duties as assigned