Medicare Risk Adjustment Specialist II – Precision Coding

Millennium Physician Group; United States; Remote; USD 33,000 - 50,000; Full time

Benefits offered by this job

Health, Dental, and Vision Insurance

401(K) Retirement Plan with Matching

Employer-Paid Life Insurance and Short

Long-Term Disability

Paid Time Off, Floating Holidays, and

Paid Major Holidays

Employee Assistance Program (EAP)

Job summary

Millennium Physician Group seeks a Medicare Risk Adjustment (MRA) Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding and documentation trends, perform retrospective chart reviews, and assign ICD-10-CM codes based on encounter documentation.

Collaborating with providers and operating teams, you will improve risk capture, ensure CMS compliance, and maintain high coding quality in a fast-paced environment.

Qualifications

• Proficient in Medicare Risk Adjustment (MRA) concepts and HCC coding methodologies.
• Strong knowledge of ICD-10-CM coding and medical record abstraction.
• Experience conducting coding audits and quality reviews.
• Understanding of CMS regulations, risk adjustment principles, and documentation requirements.

Responsibilities

• Analyze Medicare Risk Adjustment (MRA) data to identify coding, documentation, and performance trends.
• Assist in developing provider-level and regional interventions to improve documentation quality and risk adjustment outcomes.
• Abstract and assign accurate ICD-10-CM diagnosis codes supported by encounter documentation.
• Conduct retrospective medical record audits to validate coding accuracy, documentation completeness, and claim submission quality.
• Review provider activity utilizing the VBAT to identify outliers, trends, and opportunities for improvement.
• Ensure compliance with CMS guidelines, coding standards, and organizational policies.
• Work independently with minimal supervision while managing multiple priorities and deadlines.
• Partner with providers, coding teams, and operational leadership to improve coding performance and documentation practices.
• Consistently meet or exceed established productivity and quality benchmarks.

Skills

Medicare Risk Adjustment (MRA)

HCC coding methods

ICD-10-CM coding

Coding audits

CMS regulations knowledge

Analytical thinking

Detail-oriented

Tools

VBAT

CMS guidelines tools

Job description

Millennium Physician Group seeks a Medicare Risk Adjustment (MRA) Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding and documentation trends, perform retrospective chart reviews, and assign ICD-10-CM codes based on encounter documentation.

Collaborating with providers and operating teams, you will improve risk capture, ensure CMS compliance, and maintain high coding quality in a fast-paced environment.