Risk Adjustment Coding Specialist II

Mosaic Health, LLC.; Northern (KY); Hybrid; USD 33,000 - 50,000; Full time

Benefits offered by this job

Health, Dental, and Vision Insurance

401(K) Retirement Plan with Matching

Employer-Paid Life Insurance and Short

Long-Term Disability

Paid Time Off, Floating Holidays, and

Paid Major Holidays

Employee Assistance Program (EAP)

Job summary

Millennium Physician Group is seeking a Medicare Risk Adjustment Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding and documentation trends, perform chart reviews, assign ICD-10-CM codes, and collaborate with providers to improve risk capture and coding quality.

The role requires a certified coding credential and strong knowledge of MRA and HCC methodologies; experience with audits and CMS guidelines is preferred.

Qualifications

• Certified coding credential required or equivalent preferred.
• Strong knowledge of Medicare Risk Adjustment (MRA) and HCC coding.
• Proficient in ICD-10-CM coding and chart abstraction.
• Experience with coding audits and CMS guidelines.

Responsibilities

• Analyze MRA data to identify coding and documentation trends.
• Abstract and assign ICD-10-CM codes from encounter docs.
• Conduct retrospective chart audits for coding accuracy.
• Review VBAT data to spot outliers and improvement opportunities.
• Ensure compliance with CMS regulations and organizational policies.
• Work independently with multiple priorities and deadlines.
• Collaborate with providers and leadership to improve coding performance.

Skills

Medicare Risk Adjustment (MRA)

HCC coding methodologies

ICD-10-CM coding

Analytical abilities

Attention to detail

Independent work

Education

Certified coding certification

Tools

VBAT

Job description

## Risk Adjustment Coding Specialist IIApply: Remote - Full Time: Pennsylvania, USA: Full time: Posted Today: M104958**Job Description Summary**We are seeking a detail-oriented and experienced Medicare Risk Adjustment (MRA) Coding Specialist to support accurate risk adjustment coding and documentation initiatives. In this role, you will analyze coding and documentation trends, perform retrospective chart reviews and audits, assign ICD-10-CM diagnosis codes, and collaborate with providers and operational teams to improve coding accuracy and risk capture. The ideal candidate is highly analytical, self-directed, and committed to maintaining the highest standards of coding quality and compliance.**How will you make an impact & Requirements**## Key Responsibilities* Analyze Medicare Risk Adjustment (MRA) data to identify coding, documentation, and performance trends.* Assist in developing provider-level and regional interventions to improve documentation quality and risk adjustment outcomes.* Abstract and assign accurate **ICD-10-CM diagnosis codes** supported by encounter documentation.* Conduct retrospective medical record audits to validate coding accuracy, documentation completeness, and claim submission quality.* Review provider activity utilizing the **Value-Based Alert Tool (VBAT)** to identify outliers, trends, and opportunities for improvement.* Ensure compliance with CMS guidelines, coding standards, and organizational policies.* Work independently with minimal supervision while managing multiple priorities and deadlines.* Partner with providers, coding teams, and operational leadership to improve coding performance and documentation practices.* Consistently meet or exceed established productivity and quality benchmarks. ## Qualifications* Certified coding credential required (CRC, CPC, CCS, RHIT, RHIA, or equivalent preferred).* Strong knowledge of **Medicare Risk Adjustment (MRA)** and **HCC coding methodologies**.* Proficiency in **ICD-10-CM coding** and medical record abstraction.* Experience conducting coding audits and quality reviews.* Understanding of CMS regulations, risk adjustment principles, and documentation requirements.* Strong analytical, problem-solving, and critical-thinking skills.* Excellent attention to detail and organizational abilities.* Ability to work independently and effectively in a fast-paced environment. ## Preferred Qualifications* Previous experience in risk adjustment coding, auditing, or value-based care programs.* Experience using VBAT or similar provider performance and alert management tools.* Knowledge of provider education and documentation improvement strategies. ## **About Millennium Physician Group:** Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, Georgia, and Texas, Millennium Healthcare is one of the largest independent physician groups in the state of Florida and the United States. At Millennium Physician Group, our employees are the foundation of our success. Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role. ## **What We Offer:** * Health, Dental, and Vision Insurance* 401(K) Retirement Plan with Matching* Employer-Paid Life Insurance and Short & Long-Term Disability* Paid Time Off, Floating Holidays, and Paid Major Holidays* Employee Assistance Program (EAP) ## **How to Apply:** **ARE YOU READY TO JOIN OUR TEAM?** We understand your time is valuable, and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial **3-minute, mobile-friendly application** so that we can review your information. We look forward to meeting you!**Compensation Range:**$24.20to$36.30*The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.*