Certified Risk Adjustment Coder

Job Summary

To enhance coding compliance and documentation accuracy, the remote Certified Risk Adjustment Coder will manage retrospective CDI chart reviews, execute formal coding audits, and collaborate with clinical and revenue teams to optimize risk adjustment processes.

Key responsibilities

• Own retrospective CDI chart review for compliant, accurate, and optimized coding
• Design and execute formal coding audits to ensure compliance with CPT and diagnosis coding standards
• Develop coding and documentation education content for clinical teams based on audit findings

Required qualifications

• Certified Risk Adjustment Coder (CRC or equivalent) required
• Medicare risk adjustment experience required
• Demonstrated Clinical Documentation Improvement (CDI) experience
• Strong knowledge of ICD-10-CM coding guidelines and Medicare documentation requirements
• Proficiency in Excel for chart audit tracking and trend reporting