Impactful Risk Adjustment Coder - ICD-10/HCC 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

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.