Strategic Medicare Risk Adjustment Coder II

Millennium Healthcare Management Serv LLC; Pennsylvania; Hybrid; USD 33,000 - 50,000; Full time

Benefits offered by this job

Health insurance

401(k) with match

Life insurance

Paid time off

Holidays & EAP

Job summary

Millennium Physician Group is seeking a Medicare Risk Adjustment (MRA) Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding trends, perform retrospective chart reviews, assign ICD-10-CM codes, and collaborate with providers to improve risk capture.

The ideal candidate is analytical, self-directed, and committed to maintaining high standards of coding quality and CMS compliance while working in a fast-paced environment.

Qualifications

• Certified coding credential required (CRC, CPC, CCS, RHIT, RHIA, or equivalent).
• Strong knowledge of Medicare Risk Adjustment (MRA) and HCC coding methodologies.
• Proficiency in ICD-10-CM coding and medical record abstraction.
• Experience conducting coding audits and quality reviews.
• Understanding of CMS regulations, risk adjustment principles, and documentation requirements.

Responsibilities

• Analyze Medicare Risk Adjustment (MRA) data to identify coding, documentation, and performance trends.
• Assist in developing provider-level and regional interventions to improve documentation quality and risk adjustment outcomes.
• Abstract and assign accurate ICD-10-CM diagnosis codes supported by encounter documentation.
• Conduct retrospective medical record audits to validate coding accuracy, documentation completeness, and claim submission quality.
• Review provider activity utilizing the VBAT to identify outliers, trends, and opportunities for improvement.
• Ensure compliance with CMS guidelines, coding standards, and organizational policies.
• Work independently with minimal supervision while managing multiple priorities and deadlines.
• Partner with providers, coding teams, and operational leadership to improve coding performance and documentation practices.
• Consistently meet or exceed established productivity and quality benchmarks.

Skills

Coding credentials

MRA & HCC coding

ICD-10-CM coding

Medical record abstraction

Audits & quality reviews

CMS regulations & documentation

Analytical skills

Attention to detail

Independent work

Fast-paced adaptability

Tools

VBAT

Job description

Millennium Physician Group is seeking a Medicare Risk Adjustment (MRA) Coding Specialist to support accurate risk adjustment coding and documentation initiatives. You will analyze coding trends, perform retrospective chart reviews, assign ICD-10-CM codes, and collaborate with providers to improve risk capture.

The ideal candidate is analytical, self-directed, and committed to maintaining high standards of coding quality and CMS compliance while working in a fast-paced environment.