Risk Adjustment Coder

MVP Health Care; City of Schenectady (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

MVP Health Care seeks a Risk Adjustment Coder to enhance health care delivery in New York. This role involves coding compliance for CMS initiatives, requiring attention to detail and collaboration within a dynamic team. The ideal candidate values teamwork, possesses solid analytical skills, and is committed to providing quality service.

Benefits

Growth opportunities

People-centric culture

Comprehensive benefits

Recognition as a top employer

Qualifications

• 1+ years of physician billing or coding experience required.
• Detail-oriented with a high degree of accuracy.
• Valid NYS driver’s license needed.

Responsibilities

• Identify, document, and monitor coding information related to HCC.
• Support the Medicare Risk Adjustment team on coding compliance.
• Ensure proper reimbursement from CMS.

Skills

Analytical skills

Attention to detail

Problem solving

Customer service commitment

Education

High School Diploma or GED

Coding education – ICD-9-CM, CPT, HCPCS

RHIT, CPC-P, or CCS-P certifications

CRC Certification

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

FACETS software

Job description

Risk Adjustment Coder Headquarters Office, 625 State Street, Schenectady, New York, United States of America ● Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America ● Tarrytown Office, 303 South Broadway, Tarrytown, New York, United States of America Req #2636 Friday, June 6, 2025

At MVP Health Care, we’re on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we’re looking for a Risk Adjustment Coder to join #TeamMVP. This is the opportunity for you if you are accountable, a team player ready to jump in, flexible and agile.

What’s in it for you:

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

Qualifications you’ll bring:

• High School Diploma or GED Coding education including understanding of proper guidelines and usage of ICD-9-CM, CPT and HCPCS RHIT – Registered Health Information Technologist or CPC-P – Certified Professional Coder (Physician) or CCS-P – Certified Coding Specialist (Physician) , and CRC-Certified Risk Adjustment Coding Credential required.
• Minimum 1 year experience of physician billing or coding.
• Strong analytical skills.
• Ability to problem solve.
• Detail oriented with high degree of accuracy.
• Ability to exercise discretion in handling confidential member information.
• Strong commitment to customer service and understanding and responding to customer needs within specific timeframes.
• Valid NYS driver’s license and access to a reliable vehicle.
• Proficiency with Microsoft Word, Excel and PowerPoint or comparable software required. Proficiency with FACETS required within six months from date of hire.
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• Identifies, collects, assesses, monitors and documents claim and encounter coding information as it pertains to CMS Hierarchical Condition Categories (HCC).

• Actively participates in and supports the Medicare Risk Adjustment team-based environment to educate providers on coding compliance and consistency.

• Works with the Coding Leader of Medicare Risk Adjustment to ensure coding compliance and appropriate reimbursement from CMS.

• Performs other duties as assigned.

• Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you’ll be:

Virtual within NYS

Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

We do not request current or historical salary information from candidates.

MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [emailprotected] .

Other details

• Job Family Medical Management/Clinical
• Pay Type Hourly
• Min Hiring Rate $22.00
• Max Hiring Rate $28.00
• Travel Required No

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