Certified Risk Adjustment Coder

Job Summary

To support accurate coding for Medicaid and Medicare Advantage programs, the part-time Certified Risk Adjustment Coder will perform medical record diagnosis code abstraction in a remote environment, ensuring compliance with coding guidelines and regulations.

Key responsibilities

• Perform code abstraction of medical records to accurately assign ICD-10-CM codes based on clinical documentation
• Identify diagnosis and chart level impairments and provide documentation improvement opportunities for provider education
• Maintain up-to-date knowledge of ICD-10-CM codes, CMS documentation requirements, and relevant regulations

Required qualifications

• Minimum of 3 years certified with a core coding credential from AHIMA or AAPC (CRC, CPC, CCS, CCS-P)
• At least 1 year of recent production coding experience in Retrospective Risk Adjustment coding within the last 6 months
• 1+ years of experience working with Medicaid plans
• Strong technical skills with proficiency in Microsoft Outlook, Word, and Excel
• Required code set knowledge and coding experience in Medicaid, Medicare, and Commercial benefit plans