Certified Risk Adjustment Coder

Job Summary

Determining appropriate ICD-10-CM diagnosis codes based on clinical documentation, the full-time Certified Risk Adjustment Coder will review medical records to ensure accurate coding, participate in quality processes, and provide education on coding compliance while working remotely.

Key responsibilities

• Review medical records to ensure accurate application of coding for patient encounters
• Utilize coding software and resources to determine appropriate diagnosis codes mapped to HCCs
• Provide ongoing feedback and training to physicians and staff regarding coding guidelines and compliance

Required qualifications

• High school diploma or equivalent; Associate's degree preferred or equivalent work experience
• Coding certification from AAPC or AHIMA, including Certified Risk Adjustment Coder (CRC) or similar
• Minimum of two years of progressive coding experience, particularly in HCC Risk Adjustment Coding
• Extensive knowledge of ICD-10-CM coding guidelines and AHA methodologies
• Experience with Electronic Medical Records (EMR), preferably EPIC