Certified Risk Adjustment Coder

Job Summary

To support value-based care initiatives, the remote Certified Risk Adjustment Coder will review medical records for accurate risk-adjusting diagnoses, conduct coding audits, and provide education to clinical teams on documentation best practices.

Key responsibilities

• Review medical records and provider documentation for compliance with CMS guidelines
• Perform HCC coding reviews to identify opportunities for documentation improvement
• Deliver education sessions on coding and documentation best practices to providers and staff

Required qualifications

• Certified Risk Adjustment Coder (CRC) credential
• At least two years of experience in risk adjustment or medical coding
• Proficiency with ICD-10-CM coding guidelines and CMS Risk Adjustment methodologies
• Experience using Electronic Health Records (EHRs) and coding software
• Active AAPC or AHIMA certification (CPC, CCS-P, CCS, or equivalent) preferred