Remote HCC Risk Adjustment Coder — US-Based

Remolity, Inc.; Northern (KY); Hybrid; USD 41,000 - 48,000; Part time

Job summary

AIxBlock is seeking US-based experienced, certified HCC risk adjustment coders to join its contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 standards within its coder workbench platform.

This remote, per-chart or hourly contract engagement offers flexible scheduling and volume scaling with client engagements. Training is provided on the tooling and strict HIPAA and PHI safeguards apply.

Qualifications

• Active AAPC CRC credential is required.
• Minimum 2 years of HCC risk adjustment coding experience.
• Familiarity with the CMS V28 model.
• Based in the United States and authorized to work in the US.
• Own a reliable computer and high-speed internet connection.
• Comfortable working in a digital platform; training is provided.
• High attention to detail and audit defensibility.

Responsibilities

• Review outpatient and ambulatory encounter documentation for Medicare Advantage members.
• Validate AI-suggested diagnosis codes and manually add any missed diagnoses.
• Document MEAT (Monitor / Evaluate / Assess / Treat) evidence per code, referencing specific source text in the chart.
• Flag ambiguous documentation, legibility issues, or charts requiring escalation.
• Participate in the over-read / inter-rater reliability QA process.
• Work within CMS V28 HCC model mapping standards.

Skills

HCC risk adjustment coding

Attention to detail

Audit defensibility

Education

AAPC CRC credential

CPC credential (nice to have)

CMS V28 model knowledge

Tools

Coder workbench platform

CMS V28 model

Job description

AIxBlock is seeking US-based experienced, certified HCC risk adjustment coders to join its contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 standards within its coder workbench platform.

This remote, per-chart or hourly contract engagement offers flexible scheduling and volume scaling with client engagements. Training is provided on the tooling and strict HIPAA and PHI safeguards apply.