Remote Medicare Risk Adjustment CDI Specialist

Greater Good Health; United States; Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Competitive compensation package

Medical, dental, and vision benefits

401(k) with company match

Monthly phone/internet reimbursement

Paid time off

Job summary

Greater Good Health is hiring a Risk Adjustment Coding Specialist to own retrospective CDI review and drive compliant, accurate coding within our Medicare-focused model.

You will work with Revenue Cycle, Clinical Operations, and leadership to close review backlogs, reduce audit risk, and improve risk capture while educating clinicians. Strong Excel skills and communication are essential.

Qualifications

• CRC certification is required.
• CDI credentials preferred (CDIP, CCDS or equivalent).
• Medicare risk adjustment experience is required.
• Experience in outpatient clinic or primary care settings is preferred.

Responsibilities

• Own retrospective CDI chart review for compliant, accurate coding.
• Design and execute formal coding audits to ensure CPT/diagnosis coding is supported by documentation.
• Identify documentation gaps and education opportunities; support remediation.
• Partner with Revenue Cycle to support claim corrections and follow-up.
• Support coding research for new CPTs and Medicare reimbursement considerations.
• Help resolve coding/documentation queries with providers to amend documentation.

Skills

CRC

CDI

Medicare risk adjustment

ICD-10-CM

Excel

Query construction

Provider education

Tools

Excel

Job description

Greater Good Health is hiring a Risk Adjustment Coding Specialist to own retrospective CDI review and drive compliant, accurate coding within our Medicare-focused model.

You will work with Revenue Cycle, Clinical Operations, and leadership to close review backlogs, reduce audit risk, and improve risk capture while educating clinicians. Strong Excel skills and communication are essential.