Risk-Adjustment Medical Coder II

ClareMedica Health Partners LLC; Miami (FL); On-site; USD 60,000 - 75,000; Full time

Job summary

Claremedica Health Partners LLC is seeking an accurate Risk Adjustment Coder to join our team in a detail-oriented role focused on reviewing medical records and coding for risk adjustment models. You will verify documentation, ensure ICD-10-CM and CPT guideline adherence, and help maintain regulatory compliance across Federal and State programs.

Applicants should have CPC certification and ideally CRC certification, with 3+ years of medical coding experience and proficiency in EMR software and

Qualifications

• CPC Certification required per AAPC/AHIMA.
• CRC certification preferred.
• Minimum three years of medical coding experience.

Responsibilities

• Review medical records to identify chronic or new conditions for risk adjustment coding.
• Verify accuracy, completeness, specificity of coding per ICD-10-CM and CPT guidelines.
• Ensure compliance with Federal, State, and local regulations and Medicare guidelines.
• Produce daily coding output and collaborate with team members to meet objectives.
• Utilize EMR systems and Microsoft Office for documentation and reporting.

Skills

CPC Certification

CRC Certification (preferred)

Medical coding experience

Attention to detail

Strong computer skills

Education

High school diploma or equivalent

Bachelor’s degree in related field (preferred)

Tools

EMR software

Microsoft Office Suite

Job description

Claremedica Health Partners LLC is seeking an accurate Risk Adjustment Coder to join our team in a detail-oriented role focused on reviewing medical records and coding for risk adjustment models. You will verify documentation, ensure ICD-10-CM and CPT guideline adherence, and help maintain regulatory compliance across Federal and State programs.

Applicants should have CPC certification and ideally CRC certification, with 3+ years of medical coding experience and proficiency in EMR software and