Medicare Advantage Risk Adjustment Coder

DaMar Staffing; Baton Rouge (LA); On-site; USD 65,000 - 90,000; Part time

Job summary

DaMar Staffing is seeking an experienced Risk Adjustment Coder for a 4-month contract in Baton Rouge, LA. The role focuses on Medicare Advantage and ACA risk adjustment coding, documentation validation, and quality assurance.

You will review medical records, apply CMS-HCC coding methodologies, and collaborate with stakeholders to support revenue integrity while maintaining deadlines.

Remote work possible; candidates must have at least 3 years of coding experience and relevant certifications.

Qualifications

• Minimum of 3 years of medical coding experience.
• Strong Medicare Advantage Risk Adjustment experience required.
• Experience with CMS-HCC coding methodologies.
• Experience performing medical record reviews and coding validation.
• Ability to work independently in a remote environment.

Responsibilities

• Review and assess medical record documentation and accurately assign ICD-10-CM diagnosis codes for Medicare Advantage and ACA Risk Adjustment programs.
• Perform retrospective and prospective coding reviews to identify supported HCC conditions.
• Evaluate medical records for coding accuracy, completeness, and compliance with CMS Risk Adjustment guidelines.
• Conduct quality assurance reviews and coding audits to ensure coding accuracy and regulatory compliance.
• Identify coding trends and provide feedback regarding documentation improvement opportunities.
• Support risk adjustment data validation, chart review, and audit initiatives.
• Collaborate with business partners and stakeholders to support risk adjustment and coding accuracy goals.
• Maintain productivity and quality standards while meeting established deadlines.
• Assist with gap identification and closure initiatives for Medicare and ACA populations.
• Document coding results in designated systems and maintain accurate records.
• Perform other duties as assigned.

Skills

Medical coding expertise

Risk Adjustment coding

CMS-HCC coding

Documentation review

Quality assurance

Analytical skills

Remote work

Education

High School Diploma or GED

Job description

DaMar Staffing is seeking an experienced Risk Adjustment Coder for a 4-month contract in Baton Rouge, LA. The role focuses on Medicare Advantage and ACA risk adjustment coding, documentation validation, and quality assurance.

You will review medical records, apply CMS-HCC coding methodologies, and collaborate with stakeholders to support revenue integrity while maintaining deadlines.

Remote work possible; candidates must have at least 3 years of coding experience and relevant certifications.