180 (CRC) Certified Risk Adjustment Coder jobs

Job Details Job Location: Burlingame, CA 94010 Salary Range: $42.79 - $48.75 Hourly ESSENTIAL JOB FUNCTIONS HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy. Provider Training and Clinical Documentation Improvement (CDI) Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding. Provide one‑on‑one and group training to providers and clinical staff to improve documentation quality and accuracy. Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards. Data Analysis and Reporting Analyze coding data to identify trends,...

Cano Health is seeking a Risk Adjustment Coder III to accurately assign ICD-10-CM codes and review medical records to ensure proper HCC capture in a compliant environment. The role requires five years of risk adjustment coding experience, CPC/CCS certification, and strong ICD-10-CM knowledge. You will collaborate with clinical teams and support audits in a fast-paced, high-volume setting. #J-18808-Ljbffr

Datavant is seeking a remote HCC coder to review medical records, identify, and code diagnoses using ICD-10 guidelines for risk adjustment and reimbursement. You will ensure accuracy and compliance while working in a fast-paced production environment. The role requires at least 2 years of HCC coding experience, AHIMA/AAPC credentials, and the ability to manage multiple client projects remotely. Expect a 40-hour work week with competitive base pay. #J-18808-Ljbffr

Sanford Health, the largest rural health system in the United States, seeks a Coding Audit Specialist to ensure the accuracy of CMS/DHS risk adjustment data. You will audit medical records for correct coding (CPT, ICD-9/10, HCPCS) and develop monitoring programs across Medicare Advantage, ACA/Exchange, and BadgerCare Plus. Requirements include a high school diploma, 3 years in health insurance or auditing, and CPC/CRCoder within one year. #J-18808-Ljbffr

Virtix Health LLC is seeking a Remote HCC Coding Quality Specialist to review the accuracy of HCC-coded records mapped to HCCs and RxHCCs in accordance with Medicare guidelines. The role requires AHIMA/AAPC certifications (CPC/CRC/CCS/CCS-P) and a minimum of 3 years in HCC coding with 2 years of auditing experience. Experience with EMRs, billing systems, and abstraction platforms is essential. This is a nationwide remote position with a focus on quality and compliance, including privacy and #J-18808-Ljbffr

Remote / Work from Home / Virtual / Hybrid Department CDI Team Schedule Full-time Facility Shadeland Station Shadeland Ave Indianapolis , IN 46256 United States Community Health Network 8.14K subscribers Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Partner with Community Health Network and Deaconess Health System – IHCI The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community...

Datavant, the data collaboration platform for healthcare, is seeking an HCC coder to review medical records and code diagnoses using ICD-10 CM guidelines, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. The role requires a minimum of 2 years' HCC coding, extensive ICD-10 knowledge, and AHIMA or AAPC credentials. You must be able to work remotely, manage time efficiently, and thrive in a fast-paced environment. #J-18808-Ljbffr

Datavant, the data collaboration platform for healthcare, is seeking an experienced HCC coder to review medical records and assign accurate ICD-10-CM codes for risk adjustment and reimbursement. You will follow client guidelines, maintain a 95% accuracy, and work remotely on multiple client projects. Ideal candidates bring at least 2 years of HCC coding, extensive ICD-10 knowledge, and AHIMA/AAPC credentials. #J-18808-Ljbffr

Community Health Network, Inc. is seeking a Remote Risk Adjustment Coder to review patient charts, ensure outpatient HCC coding accuracy, and support CMS compliance from home. Reporting to the CDI Manager, you will use various platforms to complete workflows across eligible states. The role requires 3+ years in outpatient risk adjustment and coding, with preferences for population health experience and relevant certifications. This is a remote role with growth opportunities within the CDI team. #J-18808-Ljbffr

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence. #J-18808-Ljbffr

Hcc Risk Adjustment Medical CoderRequired Skills & Experience-Medicare HCC experience is required -ICD 10 experience -2 years experience as a risk adjustment coder -CCS or CPC certified through AAPC or AHIMANice to Have Skills & ExperienceMedicaid Coding ExperienceJob DescriptionInsight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.Perform accurate HCC risk adjustment coding for Medicare populations Review and code medical records in accordance with ICD and risk adjustment guidelines Meet established quality standards and productivity metrics Complete coding work while maintaining an average throughput of approximately 2 charts per hourCompensation: $20.00-$24.00/hr. Exact compensation may vary based on several factors, including skills, experience, and education.

VNS Health is seeking a skilled Medical Coder with Risk Adjustment expertise to review provider documentation and assign ICD-10 codes aligned with CMS HCC methodology. You will monitor coding accuracy and participate in data validation, audits, and training across departments. Applicants should have at least two years of payor experience, knowledge of ICD-10-CM, CPT-4, HCPCS, and HIPAA; willingness to collaborate with care teams and leadership to improve compliance and outcomes. #J-18808-Ljbffr

Community Health Network, Inc. is seeking a Remote Risk Adjustment Coder to review patient charts, ensure outpatient HCC coding accuracy, and support CMS compliance from home. Reporting to the CDI Manager, you will use various platforms to complete workflows across eligible states. The role requires 3+ years in outpatient risk adjustment and coding, with preferences for population health experience and relevant certifications. This is a remote role with growth opportunities within the CDI team. #J-18808-Ljbffr

Job Description Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.  By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role...

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines. Ensure all...

Blue Cross Blue Shield of Arizona seeks a Quality Assurance Coder/Auditor to lead risk mitigation education for primary care providers and staff. You will review records, identify at-risk HCCs, and suggest coding improvements based on Medicare guidelines. The role requires CCS-P/CRC/CPC/COC credentials, 5+ years in coding with HCC, and 2+ years auditing; hybrid role within Arizona, standard 40 hours weekly, with ongoing education duties. #J-18808-Ljbffr