Certified Risk Adjustment Coder

To support accurate coding for Medicaid and Medicare Advantage programs, the part-time Certified Risk Adjustment Coder will perform medical record diagnosis code abstraction in a remote environment, ensuring compliance with coding guidelines and regulations. Key responsibilities Perform code abstraction of medical records to accurately assign ICD-10-CM codes based on clinical documentation Identify diagnosis and chart level impairments and provide documentation improvement opportunities for provider education Maintain up-to-date knowledge of ICD-10-CM codes, CMS documentation requirements, and relevant regulations Required qualifications Minimum of 3 years certified with a core coding credential from AHIMA or AAPC (CRC, CPC, CCS, CCS-P) At least 1 year of recent production coding experience in Retrospective Risk Adjustment coding within the last 6 months 1+ years of experience working with Medicaid plans Strong technical skills with proficiency in Microsoft Outlook, Word, and Excel Required code set knowledge and coding experience in Medicaid, Medicare, and Commercial benefit plans