Certified Risk Adjustment Coder

Bringing expertise in medical coding and Hierarchical Condition Categories, the full-time Certified Risk Adjustment Coder will conduct medical record reviews, ensure compliance with documentation standards, and identify opportunities for quality improvement in a remote setting. Key responsibilities Conduct medical records reviews and accurate diagnosis code abstraction following official coding guidelines Utilize HHS' Risk Adjustment Model to verify accuracy of Hierarchical Condition Categories from ICD-10-CM codes Perform documentation audits to identify gaps in risk adjustment data and collaborate with team members on compliance education Required qualifications High school diploma 2+ years of experience with relevant Coding Certifications (CPC, CCS-P, CCS-H, RHIT, RHIA, or CRC certification) Experience with medical documentation audits and proficiency in ICD-10-CM coding guidelines Familiarity with CMS regulations for Risk Adjustment programs Computer competency with Excel, MS Word, and Adobe Acrobat