Medicare Risk Adjustment Specialist II

Millennium Physician Group; Pennsylvania; On-site; USD 33,000 - 50,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

401(K) Retirement Plan with Matching

Employer-Paid Life Insurance

Short & Long-Term Disability

Paid Time Off

Paid Major Holidays

Employee Assistance Program

Job summary

Millennium Physician Group is seeking a Medicare Risk Adjustment (MRA) Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding trends, perform retrospective chart reviews, and collaborate with providers to improve coding accuracy and risk capture.

The ideal candidate will be analytical, self-directed, and uphold high standards of coding quality and compliance in a fast-paced healthcare environment.

Qualifications

• Certified coding credential is required; equivalents preferred.
• Strong knowledge of Medicare Risk Adjustment (MRA) and HCC coding methods.
• Proficiency in ICD-10-CM coding and medical record abstraction.
• Experience conducting coding audits and quality reviews.
• Familiarity with CMS regulations and documentation requirements.

Responsibilities

• Analyze MRA data to identify coding, documentation, and performance trends.
• Develop provider-level and regional interventions to improve documentation quality and risk adjustment outcomes.
• Abstract and assign accurate ICD-10-CM codes supported by documentation.
• Conduct retrospective medical record audits to validate coding accuracy and claim quality.
• Review provider activity using VBAT to identify opportunities for improvement.
• Ensure CMS guidelines and organizational policies are followed.

Skills

ICD-10-CM coding

Data analysis

Independent work

Education

CRC/CPC/CCS/RHIT/RHIA credential or equivalent

Tools

VBAT

Job description

Millennium Physician Group is seeking a Medicare Risk Adjustment (MRA) Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding trends, perform retrospective chart reviews, and collaborate with providers to improve coding accuracy and risk capture.

The ideal candidate will be analytical, self-directed, and uphold high standards of coding quality and compliance in a fast-paced healthcare environment.