Certified Risk Adjustment Coder

Job Summary

Working remotely on a full-time basis, a Certified Risk Adjustment Coder will review and accurately code medical charts, ensuring compliance with coding guidelines and maintaining quality standards.

Key responsibilities

• Assign appropriate ICD-10 codes and map to risk adjustment models as applicable
• Maintain quality and production standards, achieving 95% accuracy on all projects
• Provide feedback to providers on performance improvement opportunities and track coding outcomes

Required qualifications

• Certified Risk Adjustment Coding (CRC) certification is required
• High School Diploma or equivalent; Associate degree preferred
• Experience with ICD-10 coding guidelines and risk adjustment reimbursement reporting
• Strong clinical knowledge related to chronic illness diagnosis and management
• Ability to code using an ICD-10-CM codebook without an encoder