Remote Risk Adjustment Coder: Audit, Educate & Improve

Astrana Health, Inc.; Monterey Park (CA); Remote; USD 56,000 - 85,000; Full time

Job summary

Astrana Health, Inc. is seeking a Certified Risk Coder to support value‑based care and risk adjustment through accurate diagnoses, coding reviews, and CMS guideline compliance with clinicians.

This remote US‑based role requires CRC credential and 2+ years in risk adjustment or HCC coding, ICD‑10‑CM proficiency, and experience with EHRs. Salary ranges from $56,000 to $85,000 annually, with West/Central time zone preference.

Qualifications

• CRC credential required.
• 2+ years risk adjustment or HCC coding experience.
• Knowledge of Medicare Advantage Risk Adjustment and HCC.
• Experience with ICD-10-CM and CMS guidelines.
• Active AAPC or AHIMA certification is required.

Responsibilities

• Review medical records to ensure accurate capture of risk-adjusting diagnoses and CMS guideline compliance.
• Perform retrospective and prospective HCC coding reviews to identify opportunities.
• Validate ICD-10-CM codes with clinical support and reporting accuracy.
• Conduct coding audits and quality reviews for compliance and integrity.
• Educate providers and staff on coding and risk adjustment best practices.
• Stay current on ICD-10-CM, HCC, CMS Risk Adjustment and payer requirements.

Skills

Risk adjustment

HCC coding

Medical coding

EHR experience

Microsoft Office

Communication skills

Remote collaboration

Education

CRC credential

AAPC/AHIMA certification (CPC/CCS-P/CCS)

Tools

Coding software

EHR systems

Job description

Astrana Health, Inc. is seeking a Certified Risk Coder to support value‑based care and risk adjustment through accurate diagnoses, coding reviews, and CMS guideline compliance with clinicians.

This remote US‑based role requires CRC credential and 2+ years in risk adjustment or HCC coding, ICD‑10‑CM proficiency, and experience with EHRs. Salary ranges from $56,000 to $85,000 annually, with West/Central time zone preference.