Remote Risk Adjustment Coder – HCC & CMS Expertise

Phpmcs; Denver (CO); Hybrid; USD 60,000 - 90,000; Full time

Job summary

Alpine Physician Partners is seeking a Clinical Risk Adjustment Coder to review medical records, identify and code diagnoses for HCC risk adjustment, ensuring CMS and payer compliance. This role supports provider education and works to maintain accurate risk scoring in a remote or hybrid setting around Denver and Colorado Springs area.

Responsibilities include reviewing encounter notes, assigning ICD-10-CM codes, conducting chart reviews, coordinating with clinicians, performing audits, and

Qualifications

• Requires MD/DO/NP/PA or equivalent medical degree/licensure.
• Active coding certification: CRC, CPC, CCS or equivalent.
• Minimum 2 years of medical coding, with HCC/risk adjustment experience preferred.

Responsibilities

• Review medical records and documentation to identify and validate diagnoses for HCC and risk-adjustment models.
• Assign and verify ICD-10-CM codes per guidelines and CMS requirements.
• Conduct chart reviews to find gaps and improve documentation and coding accuracy.
• Collaborate with providers and staff to clarify documentation and support accurate capture of chronic conditions.
• Monitor coding quality through audits and provide education on documentation improvements.

Skills

Medical terminology

ICD-10-CM knowledge

CMS/HCC knowledge

Attention to detail

Analytical skills

Communication skills

Education

MD/DO/NP/PA or equivalent

Tools

EHR systems

Coding software

Audit tools

Job description

Alpine Physician Partners is seeking a Clinical Risk Adjustment Coder to review medical records, identify and code diagnoses for HCC risk adjustment, ensuring CMS and payer compliance. This role supports provider education and works to maintain accurate risk scoring in a remote or hybrid setting around Denver and Colorado Springs area.

Responsibilities include reviewing encounter notes, assigning ICD-10-CM codes, conducting chart reviews, coordinating with clinicians, performing audits, and