Hybrid MRA Coder & Auditor — Risk Adjustment Expert

Valora Medical Group; Orlando (FL); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Valora Medical Group is seeking a Risk Adjustment (MRA) Coder/Auditor to ensure accurate identification of chronic conditions and ICD-10 coding to support correct billing. The role includes training providers, producing regular office reports, and improving documentation quality.

This is a hybrid position with onsite training support. Required: Bachelor’s in healthcare or related field, 2+ years coding plus 1+ year risk adjustment experience, and Certified Professional Coder; Certified Risk

Qualifications

• Bachelor’s degree in healthcare or related field required or preferred.
• 2+ years coding experience and 1+ years Risk Adjustment, CMS, HCC model experience.
• Certified Professional Coder is required.
• Certified Risk Adjustment Coder is highly preferred.
• Understanding of Medicare program, Medicare Advantage plans, and medical insurance industry.
• Strong written, verbal communication and interpersonal skills.
• Ability to handle confidential information with discretion.

Responsibilities

• Validate and abstract risk adjustment diagnosis codes using a coding platform and chart reviews.
• Review medical records and billing history to confirm correct billing and documentation.
• Send daily and weekly reports supporting each medical office.
• Implement process improvements to maximize risk adjustment factor accuracy.
• Follow CMS guidelines for risk adjustment and ensure accuracy of diagnosis information.
• Assist with HEDIS chart reviews and reporting of quality codes.
• Train and mentor providers and clinical staff on HCC coding/documentation and measures.
• Handle additional duties as assigned by management.

Skills

Communication

Customer Service

Flexibility

Confidentiality

Education

Bachelor’s Degree in healthcare or related field

Certified Professional Coder

Certified Risk Adjustment Coder

Job description

Valora Medical Group is seeking a Risk Adjustment (MRA) Coder/Auditor to ensure accurate identification of chronic conditions and ICD-10 coding to support correct billing. The role includes training providers, producing regular office reports, and improving documentation quality.

This is a hybrid position with onsite training support. Required: Bachelor’s in healthcare or related field, 2+ years coding plus 1+ year risk adjustment experience, and Certified Professional Coder; Certified Risk