Remote Risk Adjustment Medical Coder (HCC/CPC)

Jobrapido; Columbus (OH); Remote; USD 32,000 - 39,000; Full time

Benefits offered by this job

Healthcare insurance

Paid leave

Job summary

Jobrapido is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. Review medical records and clinical documentation to assign ICD-10-CM codes that support risk adjustment and HCC reporting.

Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring diagnoses are supported by clinical evidence. You will work with providers and healthcare teams to improve coding accuracy and documentation

Qualifications

• Certified coder with CPC/CCS/CRC/CCA or equivalent.
• Strong ICD-10-CM coding experience and medical record review background.
• Knowledge of Risk Adjustment and HCC coding methodologies.
• Experience reviewing physician documentation and assigning accurate diagnosis codes.
• Strong understanding of medical terminology, anatomy, physiology, and disease processes.
• Ability to interpret complex clinical documentation with high accuracy and productivity.
• Familiarity with CMS guidelines and Medicare Advantage requirements.

Responsibilities

• Review medical records, physician documentation, and clinical data to identify reportable diagnoses.
• Assign accurate ICD-10-CM diagnosis codes based on coding guidelines and documentation.
• Identify diagnoses impacting Risk Adjustment and HCC reporting.
• Validate coded diagnoses against clinical evidence and documentation standards.
• Perform prospective and retrospective chart reviews.
• Identify missed, unsupported, or incorrectly coded diagnoses.
• Ensure compliance with CMS, Medicare Advantage, HIPAA, and organizational coding requirements.
• Participate in coding audits and quality assurance initiatives.
• Communicate coding and documentation questions with providers and clinical staff.
• Stay up to date on ICD-10, HCC, and CMS regulatory changes.

Skills

Certified coder

ICD-10-CM coding

Risk Adjustment

CMS guidelines

Medical terminology

Documentation interpretation

CMS/MediCARE Advantage

Tools

EMRs

coding software

Job description

Jobrapido is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. Review medical records and clinical documentation to assign ICD-10-CM codes that support risk adjustment and HCC reporting.

Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring diagnoses are supported by clinical evidence. You will work with providers and healthcare teams to improve coding accuracy and documentation