Risk Adjustment Coder — ACA/HCC ICD-10 Expert

HireTalent; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

HireTalent seeks an experienced Risk Adjustment Medical Coder to support ACA risk adjustment initiatives within a client health plan environment. The role emphasizes HCC and ICD-10 coding, with blind coding and internal guideline adherence as core duties.

The candidate should have CPC certification, 3+ years of risk adjustment coding experience, and familiarity with Epic EMR or Veradigm platforms. This position focuses on ACA/commercial risk adjustment and supports a critical coding season.

Qualifications

• CPC certification is strongly preferred; CRC considered.
• Minimum 3 years of risk adjustment coding experience.
• Experience assigning HCC and ICD-10 diagnosis codes.
• Ability to independently review medical records and perform blind coding.
• Experience in risk adjustment programs for health plans, providers, or vendors.

Responsibilities

• Review EMRs and PDFs for risk adjustment coding opportunities.
• Perform blind coding and identify HCCs and ICD-10 codes from clinical documentation.
• Validate and assign accurate risk-adjusted diagnoses per ACA/CMS guidelines.
• Analyze records to identify reportable conditions and coding opportunities.
• Maintain productivity of 40-70 charts per day depending on complexity.
• Adhere to internal SOPs, quality standards, and compliance requirements.
• Collaborate with coding leadership, auditors, and team via Slack and other channels.

Skills

CPC certification

Risk adjustment coding

HCC coding

ICD-10 coding

Independent chart review

Education

Associate's or Bachelor’s degree

Tools

Epic EMR

Veradigm risk adjustment platforms

Job description

HireTalent seeks an experienced Risk Adjustment Medical Coder to support ACA risk adjustment initiatives within a client health plan environment. The role emphasizes HCC and ICD-10 coding, with blind coding and internal guideline adherence as core duties.

The candidate should have CPC certification, 3+ years of risk adjustment coding experience, and familiarity with Epic EMR or Veradigm platforms. This position focuses on ACA/commercial risk adjustment and supports a critical coding season.