Risk Adjustment Coder

ExactCare Pharmacy; New Jersey; Remote; USD 60,000 - 85,000; Full time

Job summary

AnewHealth is seeking a Risk Adjustment Coder to support healthcare programs by ensuring compliance and maximizing financial success. This remote role involves analyzing medical records, coding information, and maintaining communication with clients, providing an opportunity for skilled professionals to contribute to impactful healthcare delivery.

Benefits

Comprehensive benefits package

Medical, dental, vision coverage

401(k) with company match

Paid time off and holidays

Qualifications

• Valid CCS, CPC, CPC-A, or CCA certification with at least one year of coding experience.
• At least 6 months of ICD-10-CM coding experience.
• Proficiency in MS Word, Excel, PowerPoint.

Responsibilities

• Perform medical record reviews and code with high specificity.
• Conduct quantitative and qualitative analysis of medical records.
• Communicate with clients and team members.

Skills

Attention to detail

Strong communication skills

Quick learning ability

Education

CCS, CPC, CPC-A, or CCA certification

Tools

MS Word

Excel

PowerPoint

Job description

Join to apply for the Risk Adjustment Coder role at AnewHealth.

We are seeking a Professional Remote Medical Coder who will apply their expertise to help healthcare programs remain compliant with regulations and identify opportunities for financial success. The role involves reviewing, analyzing, and coding diagnostic and procedural information from medical records to determine payments, primarily using ICD-10-CM, CPT, and HCPCS coding for reimbursement.

The Remote Medical Coder will:

• Perform medical record reviews and code with high specificity, complying with CMS, HIPAA, and company policies.
• Conduct quantitative and qualitative analysis of medical records for accuracy and completeness.
• Perform risk adjustment data validations following AHA coding guidelines.
• Communicate with clients and team members to add value and foster strong partnerships.
• Stay updated on coding practices through continuous learning.

Requirements include:

• Valid CCS, CPC, CPC-A, or CCA certification with at least one year of coding experience. RHIA is a plus.
• At least 6 months of ICD-10-CM coding experience.
• Proficiency with MS Word, Excel, PowerPoint, and adaptability to new software.
• Strong communication skills and ability to work independently in a remote setting.
• Attention to detail and quick learning ability.
• A strong work ethic and integrity. Experience in documentation improvement, HCC, Medicare Advantage, or managed healthcare is a plus.

AnewHealth offers a comprehensive benefits package, including medical, dental, vision, FSA, life insurance, disability, 401(k), paid time off, and holidays. Coverage starts the month after hire.

We are an equal opportunity employer and maintain a drug-free workplace. Applicants must be eligible to work in the country.