Risk Adjustment Coder III - ICD-10/HCC Expert

Cano Health LLC; United States; On-site; USD 75,000 - 105,000; Full time

Job summary

Cano Health LLC is seeking a Risk Adjustment Coder III to assign ICD-10-CM codes from medical records, ensuring accuracy for risk adjustment models. You will perform chart reviews and apply CMS-HCC guidelines, with audits to maintain quality.

Qualifications include CPC/CCS, CRC preferred, and 5 years in medical coding with HCC focus. Strong analytical skills and teamwork are essential for success in a fast-paced environment.

Qualifications

• Associate’s degree or certification in Health Information Management, Medical Coding, or related field preferred.
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required.
• Certified Risk Adjustment Coder (CRC) preferred.
• 5 years of experience in medical coding with focus on risk adjustment or HCC coding.
• Extensive knowledge of ICD-10-CM coding guidelines and risk adjustment methodologies.
• Experience with medical record review, documentation guidelines, and auditing.

Responsibilities

• Assign ICD-10-CM diagnosis codes based on medical records and encounter data; follow guidelines.
• Perform chart reviews to ensure accurate capture of diagnoses, including HCC codes.
• Identify and correct coding discrepancies per documented evidence and standards.
• Maintain productivity and quality benchmarks for coding volume and accuracy.
• Collaborate with coding team, clinical documentation staff, and leadership to resolve coding issues; participate in audits.

Skills

ICD-10-CM coding

HCC coding

Audit/QA

Communication

Independent work

Education

Associate degree in Health Information Management or Medical Coding

CPC/CCS certification

CRC certification

Tools

EHR systems

Job description

Cano Health LLC is seeking a Risk Adjustment Coder III to assign ICD-10-CM codes from medical records, ensuring accuracy for risk adjustment models. You will perform chart reviews and apply CMS-HCC guidelines, with audits to maintain quality.

Qualifications include CPC/CCS, CRC preferred, and 5 years in medical coding with HCC focus. Strong analytical skills and teamwork are essential for success in a fast-paced environment.