Certified Risk Adjustment Coder

Job Summary

Working remotely in a full-time capacity, the Certified Risk Adjustment Coder will review medical records to apply appropriate diagnosis coding in compliance with ICD-10 guidelines, ensuring accuracy and quality in risk adjustment coding.

Key responsibilities

• Review inpatient and outpatient medical records to assign relevant diagnosis codes using ICD-10 classification systems
• Validate provider- and vendor-submitted medical record documentation and ICD-10 codes to correct inaccuracies
• Meet production targets while maintaining a strict quality audit accuracy of 95%

Required qualifications

• 2+ years of related work experience
• High school diploma or GED
• Active Certified Professional Coder (CPC) and/or CCSP certification
• Proficient with ICD-10-CM guidelines for coding and reporting
• Intermediate level of Microsoft Office proficiency (Word, Excel, Outlook, PowerPoint)