Risk Adjustment Coding Specialist II — ICD-10 & HCC Expert

Millennium Physician Group; Florida; On-site; USD 32,000 - 48,000; Full time

Job summary

Millennium Physician Group, a leading Florida-based primary care provider, seeks a risk adjustment coder to validate coding accuracy and documentation integrity. You will abstract and assign ICD-10-CM codes in line with Medicare risk adjustment requirements and analyze trends to improve coding performance.

The role emphasizes independent review, collaboration with providers, and adherence to productivity and quality standards in a value-based care setting.

Qualifications

• Knowledge of ICD-10-CM coding guidelines, HCC methodologies, and Medicare risk adjustment requirements.
• Ability to perform independent risk adjustment coding reviews and identify documentation gaps.
• Interpretation of clinical documentation, coding guidelines, and organizational procedures to resolve routine coding issues.

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.

Skills

ICD-10-CM coding

Medicare risk adjustment

Documentation review

Data analysis

Provider communication

Job description

Millennium Physician Group, a leading Florida-based primary care provider, seeks a risk adjustment coder to validate coding accuracy and documentation integrity. You will abstract and assign ICD-10-CM codes in line with Medicare risk adjustment requirements and analyze trends to improve coding performance.

The role emphasizes independent review, collaboration with providers, and adherence to productivity and quality standards in a value-based care setting.