Certified Risk Adjustment Coder

Job Summary

Working remotely in a full-time capacity, the Certified Risk Adjustment Coder will perform ICD-10-CM, CPT, and HCPCS coding for reimbursement, ensuring compliance with government regulations while analyzing and coding diagnostic and procedural information from medical records.

Key responsibilities

• Perform medical record reviews and apply coding principles to ensure compliance with CMS and HIPAA regulations
• Conduct quantitative and qualitative analysis of medical records for completeness, consistency, and accuracy
• Engage with clients and co-workers to communicate valuable information and maintain strong partnerships

Required qualifications

• Valid Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), or CCA designation with at least one year of coding experience
• Minimum of 6 months experience coding ICD-10 CM
• Proficiency in MS Word, Excel, and PowerPoint, with the ability to learn new software
• Experience in Documentation Improvement, Hierarchical Condition Categories (HCC), or Medicare Advantage plans is a plus
• Strong work ethic and integrity, with the ability to work independently in a remote setting