Senior Risk Adjustment Coder - ICD-10, HCC Audits & MRA

Millennium Physician Group; Town of Florida (NY); On-site; USD 32,000 - 47,000; Full time

Job summary

Millennium Physician Group seeks a Level II Risk Adjustment Coding Specialist to abstract ICD-10-CM codes from encounter documentation, conduct audits, and contribute to VBAT and MRA analyses in New York.

The role requires 2+ years of coding experience, including 1 year of HCC coding, and strong knowledge of ICD-10-CM conventions, with proficiency in MS Office and EMR systems. You will collaborate with leadership to meet accuracy and productivity targets.

Qualifications

• Minimum 2 years of coding or related medical experience, including 1 year of HCC coding.
• Advanced knowledge of medical terminology, anatomy, physiology, and disease processes.
• Extensive understanding of ICD-10-CM conventions, documentation standards, and reimbursement systems.
• Strong technical skills, including proficiency with MS Office (Excel, Word, Access, PowerPoint).
• Demonstrated ability to use a variety of electronic medical record systems.
• Ability to manage a significant workload and meet deadlines with minimal supervision.

Responsibilities

• Abstract and assign ICD-10-CM diagnosis codes supported in encounter documentation.
• Conduct retrospective audits of medical records to validate coding accuracy, completeness, and claim submission quality.
• Perform comprehensive reviews of provider actions within the Value-Based Alert Tool (VBAT) to identify outliers and improvement opportunities.
• Analyze Medicare Risk Adjustment (MRA) data to identify coding or documentation patterns and assist in developing interventions at the provider or regional level.
• Keep leadership aware of project activities through written and oral updates; proactively identify project risks.
• Consistently meet or exceed accuracy and productivity benchmarks.
• May be assigned additional projects or a higher workload volume than a Level I specialist.

Skills

ICD-10-CM coding

Medical terminology

Documentation standards

Time management

Data analysis

Tools

MS Office

EMR systems

Job description

Millennium Physician Group seeks a Level II Risk Adjustment Coding Specialist to abstract ICD-10-CM codes from encounter documentation, conduct audits, and contribute to VBAT and MRA analyses in New York.

The role requires 2+ years of coding experience, including 1 year of HCC coding, and strong knowledge of ICD-10-CM conventions, with proficiency in MS Office and EMR systems. You will collaborate with leadership to meet accuracy and productivity targets.