Risk Adjustment Medical Coder (CRC, CPC, CCS, CCS-P) - Fully Remote!

Centauri Health Solutions, Inc; Michigan; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare technology company is seeking a fully remote Risk Adjustment Medical Coder. The role involves coding from medical records, focusing on Medicaid, while ensuring compliance with guidelines. Candidates should be certified and have experience in risk adjustment coding, with strong organizational and communication skills.

Qualifications

• Minimum 3 years of certified coding experience.
• Experience with Medicaid plans for at least 1 year.
• Recent 1-year experience in retrospective risk adjustment coding.

Responsibilities

• Abstract medical records to assign ICD CM codes.
• Identify diagnosis and impairment opportunities for provider education.
• Maintain coding quality standards and meet productivity targets.

Skills

Organizational skills

Communication skills

Technical skills

Education

AHIMA or AAPC certification (CRC, CPC, CCS, CCS-P)

Job description

Risk Adjustment Medical Coder (CRC, CPC, CCS, CCS-P) - Fully Remote!

Michigan, USA Req #6 Monday, September 9

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial, and Exchange. We aim to improve health outcomes through compassionate outreach, analytics, clinical data exchange, and data-driven solutions. Headquartered in Scottsdale, AZ, we employ dedicated associates nationwide and have been recognized on the Inc. 5000 list and Deloitte Technology Fast 500.

Role Overview

The Risk Adjustment Coder, certified through AHIMA or AAPC, performs diagnosis code abstraction from medical records based on clinical documentation, coding guidelines, and regulations. The primary focus is on Medicaid lines of business, with potential involvement in Medicare Advantage and Commercial Risk Adjustment coding.

Role Responsibilities

1. Abstract medical records to assign ICD CM codes supported by clinical documentation.
2. Identify diagnosis and impairment opportunities for provider education.
3. Stay current with ICD CM codes, CMS requirements, and regulations.
4. Pass coding quizzes with high accuracy.
5. Maintain coding quality standards and meet productivity targets.
6. Follow client guidelines and suggest process improvements.
7. Perform additional duties as assigned.

Role Requirements

1. Minimum 3 years of certified coding experience with AHIMA or AAPC credentials (CRC, CPC, CCS, CCS-P).
2. Experience working with Medicaid plans for at least 1 year.
3. Strong organizational, communication, and technical skills.
4. Ability to work independently remotely.
5. Recent 1-year experience in retrospective risk adjustment coding (within last 6 months).
6. Knowledge of coding in Medicaid, Medicare, and Commercial plans.
7. Experience with Complete Code Capture for at least 1 year.