• Executes Line 2 oversight of Risk Adjustment activities • Identifies compliance risks, auditing coding practices, adherence to CMS guidelines • Ensures coding accuracy by reviewing inpatient and outpatient medical records • Apply ICD-10, AHIMA, Coding Clinic, and company’s coding guidelines • Review and appropriately challenge coding decisions based on current industry guidelines • Conduct Line 1 gap analysis and provide best practice recommendations • Provide guidance on CMS coding requirements and industry best practices • Assess risk levels in coding data and recommend mitigation strategies • Evaluate policy and procedures to ensure completeness and adherence to current requirements • Support remediation efforts for identified non-compliance issues.