Risk Adjustment Coding Specialist - Remote

Lensa; Columbus (OH); Remote; USD 55,000 - 75,000; Full time

Job summary

A leading healthcare provider seeks an HCC Risk Coder responsible for coding medical diagnoses and ensuring compliance with standards. This remote position offers competitive compensation, benefits starting on day one, and opportunities for professional development while being part of a diverse team dedicated to quality healthcare.

Benefits

Medical, dental, and vision coverage

Retirement savings account with employer match

Generous paid time off programs

Tuition/professional development reimbursement

Employee Referral Rewards program

DailyPay for eligible colleagues

Qualifications

• Minimum 2 years of experience in medical coding and billing required.
• CPC required within one year of hire.

Responsibilities

• Reviews patient records to determine Gaps in Care.
• Educates providers on documentation improvement.
• Collaborates to ensure accurate clinical codes.

Skills

Attention to detail

Documentation improvement

Education

High school graduate or GED

Certified Risk Adjustment Coder certification

Job description

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Trinity Health, is seeking professionals. Apply via Lensa today!

Employment Type

Full time

Shift

Description:

The HCC Risk Coder is responsible for accurately reviewing, analyzing, and coding medical diagnoses using Hierarchical Condition Category (HCC) coding methodologies. This role ensures compliance with industry standards, risk adjustment guidelines, and regulatory requirements to support accurate reimbursement, risk score accuracy, and proper documentation practices. The coder collaborates with providers, auditors, and compliance teams to enhance coding quality while maintaining integrity in medical record reviews.

Position Purpose

• Risk Adjustment Coding Specialist works in a team environment and is responsible for ensuring accurate ICD-9/10 documentation and capturing the HCC diagnostics code for the patient billing process.The HCC Risk Coder is responsible for accurately reviewing, analyzing, and coding medical diagnoses using Hierarchical Condition Category (HCC) coding methodologies. This role ensures compliance with industry standards, risk adjustment guidelines, and regulatory requirements to support accurate reimbursement, risk score accuracy, and proper documentation practices. The coder collaborates with providers, auditors, and compliance teams to enhance coding quality while maintaining integrity in medical record reviews.
• Specialty: Medical Group
• Location: Remote
• Hours of office: Monday – Friday: 5:30a – 4:30p or 6:00p
  
  

What You Will Do

• Reviews patient record prior to appointment to determine Gaps in Care, then communicates Gaps to provider.
• Recognizes opportunities for documentation improvement and educates providers and staff of suggested improvements.
• Collaborates with providers to formulate appropriate modifications to clinical documentation to reflect the appropriate use of clinical codes and documentation
  
  

Minimum Qualifications

• Education: High school graduate or GED required
• Licensure / Certification:
• CPC required
• Certified Risk Adjustment Coder certification within one year of hire required.
• Experience: Minimum of two years of experience in medical coding and billing required
  
  

Position Highlights And Benefits

• Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.
• Retirement savings account with employer match starting on day one.
• Generous paid time off programs.
• Employee recognition programs.
• Tuition/professional development reimbursement.
• Relocation assistance (geographic and position restrictions apply).
• Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing.
• Employee Referral Rewards program.
• Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday. You deserve to get paid every day!
• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.
  
  

Ministry/Facility Information

Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you’re seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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