Senior Risk Adjustment Coder | ICD-10 & HCC Expert

Cano Health; Miami (FL); On-site; USD 70,000 - 100,000; Full time

Job summary

Cano Health seeks a Risk Adjustment Coder III to assign ICD-10-CM codes from medical records, ensuring accuracy with HIPAA-compliant documentation. You will perform detailed chart reviews, apply CMS-HCC guidelines, and participate in audits to uphold data quality.

Collaboration with clinical teams is essential. Qualified candidates have 5+ years in medical coding, CPC/CCS certification, and strong attention to detail.

Qualifications

• 5 years of experience in medical coding with a focus on risk adjustment or HCC coding.
• Extensive knowledge of ICD-10-CM coding guidelines and risk adjustment methodologies.
• Certified Professional Coder (CPC) and/or Certified Coding Specialist (CCS) are required.
• Certified Risk Adjustment Coder (CRC) preferred.
• Experience with medical record review, documentation guidelines, and auditing.

Responsibilities

• Assign ICD-10-CM diagnosis codes based on medical records, clinical documentation, and encounter data.
• Perform detailed chart reviews to ensure accurate capture of diagnoses, including HCC codes.
• Identify and correct coding discrepancies based on documented evidence and coding standards.
• Maintain productivity and quality benchmarks for coding volume and accuracy.
• Apply CMS-HCC and other risk adjustment guidelines in daily work activities.
• Participate in routine coding audits and apply feedback to improve accuracy.

Skills

ICD-10-CM coding

HCC coding

CPT/HCPCS

Auditing

Medical record review

Attention to detail

Communication skills

Education

Associate degree

CPC

CCS

CRC

CPMA

CDEO

Job description

Cano Health seeks a Risk Adjustment Coder III to assign ICD-10-CM codes from medical records, ensuring accuracy with HIPAA-compliant documentation. You will perform detailed chart reviews, apply CMS-HCC guidelines, and participate in audits to uphold data quality.

Collaboration with clinical teams is essential. Qualified candidates have 5+ years in medical coding, CPC/CCS certification, and strong attention to detail.