Medicare Risk Adjustment Coder — Travel-Ready & Bilingual

Genuine Health Group; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

Genuine Health Group seeks a Medicare Risk Adjustment Coder to support retrospective and concurrent chart reviews, translating medical data into compliant HCC codes. You will collaborate with physicians, obtain records, and ensure accuracy in ICD-10 and CPT coding.

The role requires bilingual English/Spanish communication and strong Excel skills. You will drive compliance with federal and state guidelines, educate providers on documentation policies, and coordinate reviews with practices across

Qualifications

• Certification CPC/CPMA/CRC/CCS-P/CCS RHIA or RHIT required.
• Minimum 3 years of Medicare Risk Adjustment coding experience.
• Advanced Microsoft Excel skills.
• Familiar with HCC Dashboard tool.
• Proficient in ICD-10 and CPT coding.
• Fluent in English and Spanish.

Responsibilities

• Coordinate and support chart reviews to verify diagnoses are supported by documentation.
• Schedule chart reviews with physician practices.
• Obtain medical records to support audits requested by Health Plans.
• Ensure compliance with coding and documentation guidelines for Risk Adjustment.
• Educate physicians on proper billing and documentation policies.
• Identify and investigate spikes in low risk scores or incorrect coding; escalate appropriately.
• Perform additional duties as required.

Skills

HCC coding knowledge

English and Spanish fluency

ICD-10 and CPT coding

Education

CPC/CPMA/CRC/CCS-P/CCS RHIA or RHIT certification

Tools

Microsoft Excel

HCC Dashboard tool

Job description

Genuine Health Group seeks a Medicare Risk Adjustment Coder to support retrospective and concurrent chart reviews, translating medical data into compliant HCC codes. You will collaborate with physicians, obtain records, and ensure accuracy in ICD-10 and CPT coding.

The role requires bilingual English/Spanish communication and strong Excel skills. You will drive compliance with federal and state guidelines, educate providers on documentation policies, and coordinate reviews with practices across