Certified Risk Adjustment Coder

Job Summary

Seeking experienced Medical Coders, the full-time Certified Risk Adjustment Coder will review and accurately code medical records following Risk Adjustment and HCC guidelines in a remote capacity, with a commitment of at least 20 hours per week, preferably 40 hours.

Key responsibilities:

• Review and accurately code medical records and encounters for Risk Adjustment and HCC coding
• Ensure compliance with ICD-10-CM, CMS-HCC, and other relevant coding guidelines
• Collaborate with healthcare providers to clarify documentation and resolve coding queries

Required qualifications:

• Minimum CPC or CCS certification from AHIMA or AAPC is required; higher-level certifications such as CRC are preferred
• One to two years of experience in Risk Adjustment and HCC coding in a healthcare setting
• Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology
• Familiarity with electronic health record (EHR) systems and coding software
• Understanding of compliance and confidentiality regulations, including HIPAA