Senior Risk Adjustment Coding Specialist

Millennium Physician Group; Florida; On-site; USD 28,000 - 42,000; Full time

Job summary

Millennium Physician Group is seeking an advanced risk adjustment coder in Florida to serve as a subject matter expert on coding practices, CMS validation standards, and documentation integrity. The role involves analyzing complex coding scenarios, guiding onboarding, and researching regulatory changes to improve departmental performance.

Responsibilities include developing resources and reference materials, evaluating workflows, and driving educational improvements in coding accuracy and

Qualifications

• Advanced knowledge of Medicare risk adjustment methodologies and coding practices.
• Familiarity with CMS validation standards and documentation improvement.
• Ability to coach and train staff on coding accuracy.

Responsibilities

• Serve as a subject matter resource for risk adjustment coding practices, coding compliance requirements, and CMS validation standards.
• Analyze complex coding scenarios and documentation issues to determine appropriate coding outcomes and recommendations.
• Support onboarding and development of coding staff through coaching, training, and knowledge sharing activities.
• Research coding guidance, regulatory changes, and industry best practices and translate findings into operational recommendations.
• Evaluate coding workflows, documentation practices, and operational processes to identify improvement opportunities.
• Develop coding resources, procedures, and reference materials that support consistency and quality across the function.
• Participate in departmental projects, audits, and cross-functional initiatives supporting risk adjustment performance.
• Analyze provider coding patterns and assist in development of educational recommendations to improve coding accuracy and documentation quality.

Job description

Millennium Physician Group is seeking an advanced risk adjustment coder in Florida to serve as a subject matter expert on coding practices, CMS validation standards, and documentation integrity. The role involves analyzing complex coding scenarios, guiding onboarding, and researching regulatory changes to improve departmental performance.

Responsibilities include developing resources and reference materials, evaluating workflows, and driving educational improvements in coding accuracy and