Remote Medical Coder - CRC/CPC with Risk Adjustment

AAPC; United States; On-site; USD 55,000 - 75,000; Full time

Job summary

AAPC is seeking a full-time Certified Clinical Coder to support outpatient medical record reviews remotely in the United States. You will assign diagnoses and procedures using ICD-10-CM and CPT coding, ensuring CMS compliance.

Responsibilities include reviewing records for accurate coding, identifying potential conditions for physician follow-up, and supporting CMS/HHS risk adjustment coding models. Remote work with CMS guidelines knowledge is essential.

Qualifications

• One year of experience with CMS-HCC and HHS-HCC risk adjustment coding.
• Advanced knowledge of ICD-10 coding conventions and Medicare Advantage requirements.
• Proficiency in using coding software and reference materials.

Responsibilities

• Review outpatient medical records for accurate coding and CMS guideline compliance.
• Perform pre-appointment reviews to identify potential clinical conditions for physician follow-up.
• Support risk adjustment code validation for CMS and HHS Risk Adjustment models.

Skills

ICD-10-CM coding

CPT coding

CMS-HCC knowledge

Education

High School Diploma or GED

CRC/CPC certification

Tools

Coding software

Job description

AAPC is seeking a full-time Certified Clinical Coder to support outpatient medical record reviews remotely in the United States. You will assign diagnoses and procedures using ICD-10-CM and CPT coding, ensuring CMS compliance.

Responsibilities include reviewing records for accurate coding, identifying potential conditions for physician follow-up, and supporting CMS/HHS risk adjustment coding models. Remote work with CMS guidelines knowledge is essential.