• Auditing, Analysis, and Compliance • Ensure that IKC is compliant with industry regulations and published coding guidelines • Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes • Perform detailed internal and external coding audits on a regular basis as defined by compliance requirements • Execute targeted audit plans, including performing targeted audits of identified HCC outliers • Identify trends, patterns, and areas of opportunity for documentation and coding improvement through data analysis and audit findings • Prepare and present formalized audit reports to leadership • Assist in internal and external audits, including Risk Adjustment Data Validation (RADV) audits • Perform necessary research to provide supportive regulatory and coding guideline documentation • Deliver comprehensive training programs and educational materials for providers, coders, and clinical staff on risk adjustment, proper documentation, and coding guidelines • Provide one-on-one and group education sessions based on audit findings