Des Moines Hybrid CRC: Risk Adjustment & HCC CDI

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

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.