Risk Adjustment Coder II: ICD-10, HCC & Documentation Expert

Millennium Healthcare Management Serv LLC; Florida; Hybrid; USD 32,000 - 48,000; Full time

Job summary

Millennium Physician Group, a large Florida-based primary care network, seeks a risk adjustment coding reviewer to validate diagnosis coding accuracy through independent clinical record reviews and documentation support. The role supports Medicare risk adjustment initiatives and improves coding integrity within a value-based care framework.

Under moderate supervision, you will abstract codes, analyze trends, and communicate findings to providers and internal stakeholders, contributing to

Qualifications

• Independent reviews of patient medical records to validate diagnosis coding accuracy.
• Knowledge of ICD-10-CM coding guidelines and Medicare risk adjustment requirements.
• Ability to identify opportunities and gaps in documentation and coding quality.

Responsibilities

• Conduct independent reviews of patient medical records to validate diagnosis coding accuracy, completeness, and documentation support.
• Abstract and assign diagnosis codes supported by encounter documentation in accordance with ICD-10-CM and Medicare risk adjustment requirements.
• Analyze coding and documentation trends to identify opportunities for improved diagnosis capture and coding accuracy.
• Review provider activity within risk adjustment and coding support tools to identify variances and opportunities for improvement.
• Support retrospective review activities and validation efforts designed to improve coding quality and documentation integrity.
• Communicate coding findings and recommendations to providers and internal stakeholders.
• Participate in project work, operational initiatives, and process improvement activities supporting risk adjustment performance.
• Maintain productivity and quality standards while managing assigned workloads independently.

Job description

Millennium Physician Group, a large Florida-based primary care network, seeks a risk adjustment coding reviewer to validate diagnosis coding accuracy through independent clinical record reviews and documentation support. The role supports Medicare risk adjustment initiatives and improves coding integrity within a value-based care framework.

Under moderate supervision, you will abstract codes, analyze trends, and communicate findings to providers and internal stakeholders, contributing to