Risk Adjustment Coder

GeBBS Consulting; New York (NY); Remote; USD 70,000 - 100,000; Full time

Job summary

GeBBS Consulting, a healthcare technology professional services and consulting firm based in Towson, Maryland, seeks a Risk Adjustment Coder for a New York-based health plan partner. The role supports validating health risk factors identified through coding activities, with ACA RADV experience and strong Excel skills.

Candidates should review medical records and ensure documentation meets risk adjustment standards.

Qualifications

• Minimum 3 years of experience as a Medical Coder.
• Prior experience with ACA RADV coding.
• Strong Excel skills.
• Medical Coder certification is a plus.
• QNXT is nice to have but not required.

Responsibilities

• Review medical records to validate diagnoses and ensure documentation meets risk adjustment and compliance standards.
• Support validation of health risk factors identified through coding activities.
• Collaborate with health plan partners to ensure RADV compliance.

Skills

Medical Coding

ACA RADV

Excel

Education

Medical Coder certification

Tools

QNXT

Job description

GeBBS Consulting is a healthcare technology professional services and consulting firm based in Towson, Maryland servicing clients throughout the US. We are celebrating our 28th year in business. We have two divisions: 1) Hospital / Provider Practice 2) Managed Care / Payer Practice – we work directly with health plans (very strong in the Blue Cross Blue Shield space). GeBBS Consulting has over two decades of experience supporting healthcare clients throughout the US.

Summary

One of our New York-based health plan partners is seeking a Risk Adjustment Coder to support the validation of health risk factors identified through prior coding activities. The ideal candidate will have ACA RADV coding experience, strong Excel skills, and a proven ability to review medical records, validate diagnoses, and ensure documentation meets risk adjustment and compliance standards.

Required Skilled

• Minimum 3 Years of experience as a Medical Coder.
• Prior experience with ACA RADV coding.
• Strong Excel skills.
• Medical Coder certification is a plus.
• QNXT is nice to have but not required.

Location: Remote