Remote Risk Adjustment Coder

Job Summary

Proficient in ICD-10-CM Risk Adjustment coding, the full-time Remote Risk Adjustment Coder will review clinical documentation and accurately apply diagnosis and procedure codes for billing and compliance while working remotely.

Key responsibilities:

• Perform quality coding of medical records while maintaining a 95% accuracy rate
• Review and ensure proper documentation is coded according to ICD-10 and CPT guidelines
• Work with the review queue daily to address coding-related denials and communicate necessary corrections

Required qualifications:

• High School Diploma or equivalent
• 3+ years of experience in HCC Risk Adjustment Coding
• CPC or CRC certification from AAPC
• Experience with EMR systems
• Strong knowledge of Federal and State Coding regulations and guidelines