Certified Risk Adjustment Coder

Job Summary

Working in a hybrid environment, the full-time Certified Risk Adjustment Coder will review medical records to ensure accurate diagnosis coding in compliance with ICD-10 guidelines, collaborating with the team to meet production targets and maintain high-quality standards.

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, correcting any inaccuracies
• Document coder observations and assist in audit presentations by answering coding-related questions

Required qualifications

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