Remote Risk Adjustment Coder – Medicare Advantage Expert

AMMON Staffing; Baton Rouge (LA); On-site; USD 39,000 - 55,000; Full time

Job summary

AMMON Staffing is seeking an Experienced Risk Adjustment Coder in Baton Rouge, LA. This contract role focuses on Medicare Advantage and ACA risk adjustment coding, including record reviews, validation, and QA to ensure CMS compliance and accurate revenue integrity.

The ideal candidate has at least three years of coding experience with CMS-HCC methodologies, and can work independently in a remote/telework setup, delivering timely and accurate results under CMS guidelines.

Qualifications

• Minimum three years of medical coding experience.
• Strong Medicare Advantage Risk Adjustment coding experience.
• Experience with CMS-HCC coding methodologies.
• Experience performing medical record reviews and coding validation activities.
• Ability to work independently in a remote environment.

Responsibilities

• Review and assign ICD-10-CM codes for Medicare Advantage and ACA Risk Adjustment programs.
• Perform retrospective and prospective coding reviews to identify supported HCC conditions.
• Evaluate medical records for coding accuracy, completeness, and CMS compliance.
• Conduct quality assurance reviews and coding audits for accuracy and regulatory compliance.
• Identify coding trends and provide feedback on documentation improvement opportunities.
• Support risk adjustment data validation, chart review, and audit initiatives.
• Collaborate with business partners to support risk adjustment and coding goals.
• Maintain productivity and quality standards while meeting deadlines.
• Assist with gap closures for Medicare and ACA populations.
• Document coding results in designated systems and maintain records.

Skills

Medicare Advantage risk adjustment

CMS-HCC coding methodologies

Medical record review

Coding validation

Documentation interpretation

Audit / QA

MS Office

EMR systems

Remote independent work

Education

CRC (Certified Risk Adjustment Coder)

CPC (Certified Professional Coder)

CCS (Certified Coding Specialist)

RHIT

RHIA

Job description

AMMON Staffing is seeking an Experienced Risk Adjustment Coder in Baton Rouge, LA. This contract role focuses on Medicare Advantage and ACA risk adjustment coding, including record reviews, validation, and QA to ensure CMS compliance and accurate revenue integrity.

The ideal candidate has at least three years of coding experience with CMS-HCC methodologies, and can work independently in a remote/telework setup, delivering timely and accurate results under CMS guidelines.