Certified Risk Adjustment Coder

Job Summary

Supporting accurate and compliant coding practices, the full-time remote Certified Risk Adjustment Coder will perform first-pass reviews of member medical records to identify active conditions that map to risk values while collaborating with the team and engaging in continuous learning.

Key responsibilities

• Maintain compliance with CMS risk adjustment diagnosis coding guidelines
• Perform comprehensive first-pass reviews of medical records and physician assessment forms for HCC coding
• Assist with the intake and quality assurance of medical records as necessary

Required qualifications

• Associates degree or equivalent work experience (2 years of professional work experience)
• 1 year of progressive medical coding and healthcare experience
• Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA)
• Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year
• Understanding of ICD-10 coding standards required