Remote Medicare Risk Adjustment Coding Specialist II

Mosaic Health, LLC.; Northern (KY); Hybrid; 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 is seeking a Medicare Risk Adjustment Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding and documentation trends, perform chart reviews, assign ICD-10-CM codes, and collaborate with providers to improve risk capture and coding quality.

The role requires a certified coding credential and strong knowledge of MRA and HCC methodologies; experience with audits and CMS guidelines is preferred.

Qualifications

• Certified coding credential required or equivalent preferred.
• Strong knowledge of Medicare Risk Adjustment (MRA) and HCC coding.
• Proficient in ICD-10-CM coding and chart abstraction.
• Experience with coding audits and CMS guidelines.

Responsibilities

• Analyze MRA data to identify coding and documentation trends.
• Abstract and assign ICD-10-CM codes from encounter docs.
• Conduct retrospective chart audits for coding accuracy.
• Review VBAT data to spot outliers and improvement opportunities.
• Ensure compliance with CMS regulations and organizational policies.
• Work independently with multiple priorities and deadlines.
• Collaborate with providers and leadership to improve coding performance.

Skills

Medicare Risk Adjustment (MRA)

HCC coding methodologies

ICD-10-CM coding

Analytical abilities

Attention to detail

Independent work

Education

Certified coding certification

Tools

VBAT

Job description

Millennium Physician Group is seeking a Medicare Risk Adjustment Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding and documentation trends, perform chart reviews, assign ICD-10-CM codes, and collaborate with providers to improve risk capture and coding quality.

The role requires a certified coding credential and strong knowledge of MRA and HCC methodologies; experience with audits and CMS guidelines is preferred.