Kansas Licensed Risk Adjustment Coder

Job Summary

To support risk adjustment initiatives, the full-time Kansas Licensed Risk Adjustment Coder will ensure compliance with coding guidelines, perform medical record reviews to capture relevant diagnosis codes, and communicate with members and providers, with the option to work remotely, hybrid, or onsite.

Key responsibilities

• Ensure compliance with federal laws and regulations related to coding and documentation for risk adjustment
• Perform medical record reviews to accurately capture diagnosis codes for CMS and HHS Hierarchical Condition Categories (HCC)
• Utilize medical coding software to abstract and analyze clinic documentation, ensuring accuracy and compliance with coding standards

Required qualifications

• High school diploma or equivalent required
• AAPC or AHIMA coding certification required
• Preferred experience in risk adjustment HCC coding
• One year of experience in coding, billing, or claims auditing
• Extensive knowledge of ICD-10-CM coding guidelines