Risk Adjustment Coding Specialist III

Millennium Healthcare Management Serv LLC; Florida; Hybrid; USD 34,000 - 52,000; Full time

Job summary

Millennium Healthcare Management Serv LLC is seeking an advanced coding resource to support risk adjustment coding quality, documentation integrity, and operational effectiveness in Florida. You will apply specialized expertise in Medicare risk adjustment methodologies, coding compliance, and documentation improvement to resolve complex coding issues and support organizational performance.

The role includes onboarding support, guidance for coding staff, and participation in cross-functional

Qualifications

• Advanced coding resource for risk adjustment coding practices and CMS validation standards.
• Ability to analyze complex coding scenarios and provide recommendations.
• Experience coaching and developing coding staff.

Responsibilities

• Serve as a subject matter resource for risk adjustment coding practices, compliance, and CMS validation standards.
• Analyze complex coding scenarios and documentation issues to determine appropriate coding outcomes and recommendations.
• Support onboarding and development of coding staff through coaching, training, and knowledge sharing activities.
• Research coding guidance, regulatory changes, and industry best practices and translate findings into operational recommendations.
• Evaluate coding workflows, documentation practices, and operational processes to identify improvement opportunities.
• Develop coding resources, procedures, and reference materials that support consistency and quality across the function.
• Participate in departmental projects, audits, and cross-functional initiatives supporting risk adjustment performance.
• Analyze provider coding patterns and assist in development of educational recommendations to improve coding accuracy and documentation quality.

Job description

Job Description Summary Serves as an advanced coding resource supporting risk adjustment coding quality, documentation integrity, and operational effectiveness. Applies specialized expertise in Medicare risk adjustment methodologies, coding compliance, and documentation improvement to resolve complex coding issues and support organizational performance. Functions as a subject matter resource for coding guidance, onboarding support, and departmental initiatives.

How will you make an impact & Requirements

• Serve as a subject matter resource for risk adjustment coding practices, coding compliance requirements, and CMS validation standards.
• Analyze complex coding scenarios and documentation issues to determine appropriate coding outcomes and recommendations.
• Support onboarding and development of coding staff through coaching, training, and knowledge sharing activities.
• Research coding guidance, regulatory changes, and industry best practices and translate findings into operational recommendations.
• Evaluate coding workflows, documentation practices, and operational processes to identify improvement opportunities.
• Develop coding resources, procedures, and reference materials that support consistency and quality across the function.
• Participate in departmental projects, audits, and cross-functional initiatives supporting risk adjustment performance.
• Analyze provider coding patterns and assist in development of educational recommendations to improve coding accuracy and documentation quality.

Compensation Range: $25.29 to $37.93 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.