Certified Risk Adjustment Coder

Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Thu, Apr 17, 2025
ICD-10-CM Risk Adjustment CMS Audits Compliance

Job Summary

A company is looking for a Risk Adjustment Coder Specialist to join their Risk Adjustment team.

Key Responsibilities
  • Conduct medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business
  • Ensure compliance with national standards and coding practices for accuracy and production standards
  • Participate in CMS audits and develop relationships to enhance understanding of the Risk Adjustment process


Required Qualifications
  • Bachelor's degree in a relevant field or equivalent work experience
  • Certified professional coder (CPC)
  • 2+ years of retrospective risk adjustment coding experience
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