Entry-Level Risk Adjustment Coder | ICD-10 & HCC

Mosaic Health, LLC.; Northern (KY); Hybrid; USD 30,000 - 45,000; Full time

Job summary

Mosaic Health, LLC. is seeking a healthcare coder to review medical records and validate diagnosis codes for risk adjustment. The role emphasizes documentation support, accuracy, and compliance within established guidelines under supervision.

The position requires an active coding credential (AAPC/AHIMA) and at least one year of related experience, with knowledge of ICD-10-CM and EHR systems. Salary ranges are provided and the company operates across the United States healthcare network.

Qualifications

• High school diploma or GED required.
• Active coding credential through AAPC or AHIMA required; CRC preferred.
• Minimum one year of healthcare, outpatient, coding, or related medical experience preferred.
• Working knowledge of ICD-10-CM coding conventions and medical terminology.
• Foundational understanding of anatomy, physiology, disease processes, and pharmacology.
• Familiarity with Medicare risk adjustment and HCC coding concepts preferred.
• Proficiency using electronic health record systems.

Responsibilities

• Review medical records to identify clinical documentation supporting diagnosis reporting and risk adjustment activities.
• Validate diagnosis codes selected by providers to ensure documentation supports accurate and compliant coding.
• Support prospective and concurrent coding review activities designed to improve diagnosis capture and documentation quality.
• Collaborate with providers and internal stakeholders to obtain clarification regarding documentation requirements.
• Maintain knowledge of ICD-10-CM coding guidelines, Medicare risk adjustment principles, and documentation requirements.
• Participate in coding education, training programs, and quality improvement initiatives.
• Meet established productivity and quality standards while maintaining coding accuracy.
• Protect the confidentiality and integrity of patient information in accordance with organizational policies and regulatory requirements.

Skills

Attention to detail

Analytical skills

Communication

Education

High school diploma or GED

Tools

Electronic health record systems

Job description

Mosaic Health, LLC. is seeking a healthcare coder to review medical records and validate diagnosis codes for risk adjustment. The role emphasizes documentation support, accuracy, and compliance within established guidelines under supervision.

The position requires an active coding credential (AAPC/AHIMA) and at least one year of related experience, with knowledge of ICD-10-CM and EHR systems. Salary ranges are provided and the company operates across the United States healthcare network.