Remote Risk Adjustment Coder – HCC & Medical Coding Expert

Practice Resources, LLC; United States; Remote; USD 25,000 - 41,000; Full time

Benefits offered by this job

AAPC/AHIMA membership fees covered

APPC webinars for CEUs

Coding books purchased by PRL

Access to EncoderPro resources

Flex weeks after training

Flexible work schedule

Job summary

Practice Resources LLC, a multi-specialty practice management company, seeks an experienced Risk Adjustment Medical Coder for a fully remote role. You will validate CPT/diagnosis codes, code for HCCs, and ensure CMS guidelines are met.

Ideal candidates hold CCS/CPC, CRC is a plus, with HIPAA compliance, EHR familiarity, and strong communication. We offer flex weeks after training and access to coding resources.

Qualifications

• CCS or CPC certification required.
• CRC certification preferred or 3+ years HCC coding experience.
• Knowledge of Medicare Annual Wellness Visits.
• Familiarity with EHR documentation methodologies.
• Proficiency with MS Windows and MS Office.

Responsibilities

• Apply in-depth knowledge of coding principles to validate missing, incomplete, or incorrect CPT and diagnosis codes.
• Code chronic disease that meets HCC and Risk Adjustment criteria.
• Assign diagnosis and procedures codes according to CMS HCC and CPT/ICD-9/10 guidelines.
• Validate missed coding opportunities and communicate with physicians about documentation and coding.
• Maintain HIPAA privacy, security, and confidentiality of medical charts; meet tight deadlines on all charts.

Skills

Medical coding knowledge

Communication skills

HIPAA knowledge

Willingness to learn

Medical terminology knowledge

Education

Professional Coding Certification (CCS or CPC)

CRC Certification (preferred)

Tools

MS Windows

MS Office

Internet

EHR systems

Job description

Practice Resources LLC, a multi-specialty practice management company, seeks an experienced Risk Adjustment Medical Coder for a fully remote role. You will validate CPT/diagnosis codes, code for HCCs, and ensure CMS guidelines are met.

Ideal candidates hold CCS/CPC, CRC is a plus, with HIPAA compliance, EHR familiarity, and strong communication. We offer flex weeks after training and access to coding resources.