Senior Risk Adjustment Coder II: Complex Coding Expert

Community Health Choice, Inc.; Houston (TX); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Community Health Choice, Inc. seeks a Risk Adjustment Coder II in Houston, Texas. The role involves advanced medical record reviews and coding of chronic conditions to ensure correct risk scoring, complying with CMS guidelines and internal policies.

The ideal candidate has a Bachelor's degree or equivalent experience, and AHIMA/AAPC certification, along with 3-5 years of experience in risk adjustment coding. Join a team dedicated to improving healthcare quality for over 400,000 members.

Qualifications

• Bachelor's Degree or equivalent experience in risk adjustment required.
• AHIMA/AAPC Certified Coder certification mandatory.
• 3-5 years experience in Commercial or Medicare risk adjustment coding.

Responsibilities

• Conduct advanced complex medical records reviews to code relevant diagnoses.
• Ensure coding compliance with Official Coding Guidelines and HHS-RADV Protocols.
• Identify opportunities to improve documentation and coding accuracy.

Skills

ICD-10 coding

Clinical documentation improvement

Risk adjustment methodologies

Analytical skills

Interpersonal skills

Written and verbal communication

Education

Bachelor's Degree or 5+ years of experience

AHIMA/AAPC certification

Tools

Microsoft 365

Job description

Community Health Choice, Inc. seeks a Risk Adjustment Coder II in Houston, Texas. The role involves advanced medical record reviews and coding of chronic conditions to ensure correct risk scoring, complying with CMS guidelines and internal policies.

The ideal candidate has a Bachelor's degree or equivalent experience, and AHIMA/AAPC certification, along with 3-5 years of experience in risk adjustment coding. Join a team dedicated to improving healthcare quality for over 400,000 members.