Remote Risk Adjustment Auditor & Educator

Baptist Health; Boca Raton (FL); Remote; USD 34,000 - 44,000; Full time

Job summary

Baptist Health Integrated Care in Boca Raton is seeking a Risk Adjustment Coordinator (Remote) to support risk coding education and chart review across provider practices. This full-time role requires coordinating pre- and post-visit analyses and collaborating with hospital leaders to improve risk scores.

The position emphasizes accuracy in ICD-10-CM coding, CMS rules, and HEDIS/Stars knowledge, with opportunities for professional certification and growth within Baptist Health.

Qualifications

• Requires 2+ years of risk coding or equivalent experience.
• Knowledge of ICD-10-CM codes, CMS requirements and HEDIS/Stars.
• Proficient in MS Office (Excel, PowerPoint, Word).
• AAPC Risk Adjustment/Coder and related certifications preferred.

Responsibilities

• Perform pre- and post-visit coding reviews to support risk adjustment.
• Educate healthcare providers on coding guidelines and documentation.
• Coordinate coding projects within the CIN to achieve goals.
• Review charts and manage up-coding workflows.

Skills

Analytical thinking

Data interpretation

Communication

Auditing

MS Office

Education

Bachelor’s degree preferred

Tools

MS Office

Coding certifications (AAPC)

Job description

Baptist Health Integrated Care in Boca Raton is seeking a Risk Adjustment Coordinator (Remote) to support risk coding education and chart review across provider practices. This full-time role requires coordinating pre- and post-visit analyses and collaborating with hospital leaders to improve risk scores.

The position emphasizes accuracy in ICD-10-CM coding, CMS rules, and HEDIS/Stars knowledge, with opportunities for professional certification and growth within Baptist Health.