Certified Risk Adjustment Coder (Hybrid)

Medasource; Des Moines (IA); Hybrid; USD 55,104; Full time

Job summary

A healthcare consulting firm is seeking a Certified Risk Adjustment Coder (CRC) to enhance Medicare Risk Adjustment through detailed medical record reviews. This hybrid role requires onsite presence in Des Moines, IA, three days a week, with potential local travel. The ideal candidate will have active CRC certification and 3-5 years of coding experience, alongside proficiency in ICD-10 guidelines. Strong communication skills and the ability to drive documentation accuracy with providers are essential for this role.

Qualifications

• Active CRC certification required.
• 3–5 years of experience in HCC coding.
• Experience with Medicare Risk Adjustment reviews.
• Strong communication with providers required.
• Advanced proficiency in Excel, Word, Outlook.

Responsibilities

• Conduct comprehensive reviews of medical records for accurate HCC diagnosis capture.
• Validate diagnosis codes in CDI alerts.
• Initiate provider queries for missed diagnoses.
• Ensure CMS compliance in documentation.
• Analyze findings and present improvement opportunities.

Skills

HCC coding and provider query experience

ICD-9/ICD-10 coding guidelines

Microsoft Office proficiency

Ability to manage deadlines

Education

Bachelor’s degree in a related field

Job description

Hybrid | Des Moines, IA (Onsite Tues–Thurs, Remote Mon/Fri)

$40/hour | 6-Month Contract with Potential for Conversion

We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement.

This position requires onsite presence Tuesday–Thursday in Des Moines, IA with 10% local travel, and remote flexibility on Mondays and Fridays.

Position Overview

This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices and support compliance with CMS guidelines.

Key Responsibilities

• Conduct comprehensive reviews of medical records for accurate HCC diagnosis capture
• Validate diagnosis codes within Clinical Documentation Improvement (CDI) alerts
• Identify missed or unsupported diagnoses and initiate provider queries
• Ensure compliance with CMS, ICD-10-CM, and Risk Adjustment guidelines
• Interact directly with physicians to improve documentation quality
• Analyze findings and present documentation improvement opportunities
• Support provider education initiatives and track performance metrics
• Maintain strong collaboration with clinical leadership and network performance teams

Required Qualifications

• Active CRC certification (required)
• Minimum 3–5 years of HCC coding and provider query experience
• Experience conducting medical record reviews for Medicare Risk Adjustment
• Strong knowledge of ICD-9/ICD-10 coding guidelines
• Ability to confidently communicate with providers and clinical leadership
• Advanced proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint)
• Experience working within multiple EMR systems
• Ability to manage deadlines and high-volume workload with accuracy

Preferred Qualifications

• 5+ years of clinical chart review or HCC medical record review
• Clinical background (RN, CDI certification, or related credentials)
• Experience presenting documentation findings to leadership teams
• Bachelor’s degree in a related field (preferred)

What We’re Looking For

• Strong communicator who can professionally engage and educate providers
• Detail-oriented with high accuracy and analytical ability
• Self-starter who can work independently and onsite within a collaborative environment
• Comfortable receiving and delivering feedback

If you are a confident Risk Adjustment professional who enjoys provider interaction and driving documentation excellence, we would love to connect.