Certified Risk Adjustment Coding Specialist

Rendr; New York (NY); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

401k with Company Match

Paid Time Off

Paid Holidays/ Floating Holidays

Commuter Benefits

HSA/FSA/ Dependent Care Account

Annual Performance Bonus

Job summary

Rendr is seeking a Certified Risk Adjustment Coder to enhance the quality of coding documentation and data within the HCC database. You will apply ICD-10-CM coding and map to risk adjustment models to support accurate reimbursement.

In this role, you will review records for accuracy, stay updated with coding guidelines, and collaborate on quality improvement initiatives while complying with HIPAA and organizational policies. This position emphasizes precision and adherence to standards.

Qualifications

• High school diploma or equivalent.
• Active certified coder certification (CRC, CPC, CCS-P) through AHIMA or AAPC.
• At least two years of risk adjustment coding experience.
• Advanced knowledge of medical codes, terminology, abbreviations, anatomy & physiology, major disease, pharmacology and metric system.
• Excellent understanding of ICD-10-CM coding classification and guidelines.
• Excellent understanding of CPT, HCPCS, and modifier coding and guidelines.

Responsibilities

• Review medical record information on a concurrent basis to identify, assess, monitor and document claims and encounter coding information for HCC.
• Assign appropriate ICD-10-CM codes and map to risk adjustment models.
• Comply with HIPAA laws and regulations.
• Stay current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements.
• Participate in quality improvement initiatives.
• Perform related work and projects as required.
• Work with manager to identify, develop and implement strategies for quality improvement.

Skills

Risk adjustment coding

Medical terminology

ICD-10-CM knowledge

CPT/HCPCS coding

Education

AHIMA/AAPC certifications (CRC/CPC/CCS-P)

Job description

Discover Better Health Careers with Rendr!

Who We Are

Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County.

Why Join Rendr?

• Opportunities for professional growth and development.
• Competitive salary and benefits package.(Salary is based on previous experience and years of service.)
• Join a team that values employee, embraces diversity, and is committed to making a meaningful impact within our communities.

Benefits We Offer:

• Medical, Dental, and Vision Insurance
• 401k with Company Match
• Paid Time Off
• Paid Holidays/ Floating Holiday(s)
• Commuter Benefits
• Health Savings Account/ Flexible Spending Account/ Dependent Care Account
• Annual Performance Bonus

Job Overview:

A Certified Risk Adjustment Coder works to improve the quality of coding documentation and data in the HCC database. This position collaborates in providing expertise in the use and application of coding classification such as ICD-10-CM.

Essential Functions

• Review medical record information on concurrent basis to identify, assess, monitor and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
• Assign appropriate ICD-10-CM codes and mapping to risk adjustment models
• Comply with HIPAA laws and regulations
• Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements
• Participates in quality improvement initiatives
• Performs related work and projects as required
• Performs other duties as assigned
• Works with manager to identify, develop and implement strategies for quality improvement

Qualifications:

• High school diploma or equivalent required
• Active certified coder certification (CRC, CPC, CCS-P) through AHIMA or AAPC
• At least two years of risk adjustment coding experience
• Advanced knowledge of medical codes, terminology, abbreviations, anatomy & physiology, major disease, pharmacology and metric system.
• Excellent understanding of ICD-10-CM coding classification and guidelines
• Excellent understanding of CPT, HCPCS, and modifier coding and guidelines

Rendr is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

We look forward to reviewing your application and exploring the possibility of you joining our team!