HCC Risk Adjustment Medical Coder (USA-based only - Remote)

Remolity, Inc.; Northern (KY); Hybrid; USD 41,000 - 48,000; Part time

Job summary

AIxBlock is seeking US-based experienced, certified HCC risk adjustment coders to join its contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 standards within its coder workbench platform.

This remote, per-chart or hourly contract engagement offers flexible scheduling and volume scaling with client engagements. Training is provided on the tooling and strict HIPAA and PHI safeguards apply.

Qualifications

• Active AAPC CRC credential is required.
• Minimum 2 years of HCC risk adjustment coding experience.
• Familiarity with the CMS V28 model.
• Based in the United States and authorized to work in the US.
• Own a reliable computer and high-speed internet connection.
• Comfortable working in a digital platform; training is provided.
• High attention to detail and audit defensibility.

Responsibilities

• Review outpatient and ambulatory encounter documentation for Medicare Advantage members.
• Validate AI-suggested diagnosis codes and manually add any missed diagnoses.
• Document MEAT (Monitor / Evaluate / Assess / Treat) evidence per code, referencing specific source text in the chart.
• Flag ambiguous documentation, legibility issues, or charts requiring escalation.
• Participate in the over-read / inter-rater reliability QA process.
• Work within CMS V28 HCC model mapping standards.

Skills

HCC risk adjustment coding

Attention to detail

Audit defensibility

Education

AAPC CRC credential

CPC credential (nice to have)

CMS V28 model knowledge

Tools

Coder workbench platform

CMS V28 model

Job description

AIxBlock Operations Featured Jobs Special Referral

HCC Risk Adjustment Medical Coder (USA-based only - Remote)

Remote — United States

HCC risk adjustment coding ICD-10-CM MEAT documentation CMS V28 Medical record review Coding quality assurance

Special Referral gives your application an enhanced referral route, helping it stand out and potentially improving your chances of being considered.

Important note: AIxBlock is building its contractor bench ahead of client engagements. Work volume will scale as its client pipeline grows; ongoing assignments are not guaranteed.

About the role

AIxBlock is looking for US-based experienced, certified HCC risk adjustment coders to join its contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 model standards within its purpose-built coder workbench platform.

This is a remote, per-chart or hourly contract engagement. Volume will scale as the client pipeline grows; AIxBlock is building the bench now so it can move quickly when engagements launch.

Scope of Work

• Review outpatient and ambulatory encounter documentation for Medicare Advantage members.
• Validate AI-suggested diagnosis codes and manually add any missed diagnoses.
• Document MEAT (Monitor / Evaluate / Assess / Treat) evidence per code, referencing specific source text in the chart.
• Flag ambiguous documentation, legibility issues, or charts requiring escalation.
• Participate in the over-read / inter-rater reliability QA process.
• Work within CMS V28 HCC model mapping standards.

What you’ll bring

• Active AAPC CRC (Certified Risk Adjustment Coder) credential — required, no exceptions.
• Minimum 2 years of HCC risk adjustment coding experience.
• Familiarity with the CMS V28 model.
• Be based in the United States and authorized to work in the US.
• Own a reliable computer and have a high-speed internet connection.
• Be comfortable working in a digital platform environment; training is provided on the specific tooling.
• High attention to detail and commitment to coding accuracy and audit defensibility.

Preferred Qualifications

• CPC credential is a plus.
• Knowledge of the V24 to V28 transition is strongly preferred.
• Fully remote
• Training on the coder workbench platform

Schedule and availability

Fully remote with a flexible schedule. Work volume scales with client engagements.

Contract & Payment Terms

• Competitive per-chart or hourly compensation, approximately $30–$35 USD/hour, commensurate with experience. Rates are discussed individually during onboarding.
• Identity verification, credential checks and a KYC process are required during onboarding for PHI access compliance.
• All contractors handling PHI must sign a Business Associate Agreement (BAA) during onboarding.
• Strict HIPAA compliance is required.
• Work volume scales with client engagements.

Where you can work

Applicants must be based in the United States and authorized to work in the US.

This role is open to people based in: United States.

Remote does not always mean work from any country. Always check the employer’s location and working-hour requirements.