Certified Risk Adjustment Coder

Job Summary

A company is looking for a Coding Consultant responsible for delivering high-quality risk adjustment coding services.

Key Responsibilities

• Review medical records to assign diagnosis codes and ensure compliance with CMS-HCC standards
• Maintain a coding accuracy score of 95% or higher and participate in quality checks and audits
• Complete assigned coding volumes within productivity targets and collaborate with team members for workflow adjustments

Required Qualifications

• CPC, CCS, RHIT, or CRC certification required
• 3-5 years of medical coding experience, preferably in risk adjustment or HCC coding
• High school diploma required; Associate's or Bachelor's degree preferred
• Strong knowledge of CMS-HCC models and diagnosis coding guidelines
• Proficiency with EMR/EHR systems and coding platforms