Senior Risk Adjustment Coder (RADV/HCC) - Remote

Metaintro, Inc.; Morgan Hill (CA); Remote; USD 90,000 - 130,000; Full time

Job summary

Metaintro, Inc. is seeking an experienced Risk Adjustment Auditor to review inpatient and outpatient medical records for HCC support in a remote-capable role.

The ideal candidate has 5+ years of risk adjustment auditing experience with a CMS RADV focus and CRC certification, plus advanced Excel skills to analyze complex data and ensure accuracy. You will perform chart reviews, coding accuracy reviews, and communicate with clients to ensure compliant and timely claim payments, requiring strong

Qualifications

• 5+ years in risk adjustment auditing with CMS/HHS RADV focus.
• Strong knowledge of ICD-10 guidelines.
• CRC certification is required.

Responsibilities

• Chart reviews for HCC support and eligibility.
• Coding accuracy reviews to ensure compliant payments.
• Client communications to ensure timely and accurate claim processing.

Skills

Risk adjustment auditing

CMS RADV knowledge

Advanced Excel

ICD-10 guidelines

Education

CRC certification

Job description

Metaintro, Inc. seeks an experienced Risk Adjustment Auditor to review inpatient and outpatient medical records for HCC support. Requires 5+ years in risk adjustment auditing with CMS/HHS RADV focus, CRC certification, and advanced Excel skills. Must be able to work remotely and meet strict accuracy targets.

Responsibilities include chart reviews, coding accuracy reviews, and client communications to ensure compliant and timely claim payments. Strong knowledge of ICD-10 guidelines is essential.