Certified Risk Adjustment Coder

Job Summary

Working remotely in a full-time capacity, a 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 processes.

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 to identify and correct inaccuracies
• Meet production targets while adhering to strict quality audit accuracy of 95% and assist in process improvement initiatives

Required qualifications

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