(CRC) Certified Risk Adjustment Coder jobs

Contract

The Judge Group Remote

The Judge Group is seeking entry-level Medical Coders to join our Fortune 100 client's team on an ongoing contract basis. If you're new to the field and eager to gain hands-on experience, we encourage you to apply. Job Overview Job Title: HCC Coder Job Type: Contract (Ongoing) Location: Fully Remote Hours: 40 hours/weekly (Monday - Friday) Rate: $22.00/hourly Key Details All equipment will be provided. Flexible start time after initial 4 weeks of training. Please note training hours will be 8:00 AM - 5:00 PM CST (Monday - Friday) Attendance during training is mandatory. Training classes starting each Monday throughout the Summer. What You'll Do As a Medical Coder, you will work remotely to accurately assign ICD-10 codes for diagnoses in both outpatient and inpatient records, supporting risk adjustment for Medicare, ACA, and Medicaid. You'll be responsible for ensuring all coding is precise and compliant with established...

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Full Time Contract

Remote Entry Level Medical Coder

CSI Companies Remote (USA)

Title of Job: Remote Certified Medical Coder (Entry-Level) The CSI Companies is hiring an Certified Medical Coder for our Fortune 100 healthcare client. As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Benefits of the Position: Excellent training under one of the top companies in the world Feedback on performance, coding coaches, and supervisors that want you to succeed. Access to learning resources and CEUs HOURLY pay as well as overtime pay New equipment shipped to you prior to your first day (laptop, monitor, and keyboard/mouse). Pay: Hourly pay will be $22 an hour plus any overtime will be paid at 1.5 times the normal hourly pay rate. Schedule Training during first...

Full Time

Compliance Educator I

Watson Clinic Lakeland, FL, USA

Essential Functions Demonstrate a contribution to the department’s operation (Practice Assessments, retrospective &/or concurrent documentation reviews) and goals/targets for the year. Maintain monthly log of activity. Prioritize workload and maintain control over interruptions. Develops educational materials to conduct classroom and/or Individual training/education to all providers and staff on coding, documentation, and CMS/Federal guidelines. Researches, analyzes, and responds to inquiries regarding inappropriate coding, denials, and billable services in accordance with all CMS/Federal and state guidelines. Reviews Hospital and Clinic notes. Conducts coding and documentation reviews: review documentation and coding for all services (including but not limited to; E & M level of service, Surgical procedures, modifier usage, diagnosis code supporting medical necessity, labs and radiologic examinations). Review all reimbursement tools for...

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Remote HCC Coding Auditor

A-Line Staffing Solutions Decatur, GA, USA

Job Title: Remote HCC Coding Auditor Pay: $24.65 an hr | Bi-weekly Job Type: Remote Shift Options: Mon-Fri 8 am - 5 pm Remote HCC Coding Auditor Overview: The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

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Remote HCC Coding Auditor

A-Line Staffing Solutions USA

Job Title: Remote HCC Coding Auditor Pay: $24.65 an hr | Bi-weekly Job Type: Remote Shift Options: Mon-Fri 8 am - 5 pm Remote HCC Coding Auditor Overview: The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

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Risk Adjustment Coder

Sentara Health Virginia Beach, VA, USA

Get AI-powered advice on this job and more exclusive features. City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder. Position Status : Full-time, Day Shift Position Location: Hybrid work model – 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office Standard Working Hours : 8:00AM to 5:00PM Overview This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in-person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines. Education Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related field or Iin lieu of associate’s degree, 4 years of medical coding experience is required...

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Remote HCC Coding Auditor

A-Line Staffing Solutions Atlanta, GA, USA

Job Title: Remote HCC Coding Auditor Pay: $24.65 an hr | Bi-weekly Job Type: Remote Shift Options: Mon-Fri 8 am - 5 pm Remote HCC Coding Auditor Overview: The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

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Remote HCC Coding Auditor

A-Line Staffing Solutions Scottdale, GA, USA

Job Title: Remote HCC Coding Auditor Pay: $24.65 an hr | Bi-weekly Job Type: Remote Shift Options: Mon-Fri 8 am - 5 pm Remote HCC Coding Auditor Overview: The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

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Risk Adjustment Coder

Claremedica Doral, FL, USA

Job Details Job Location : Miami, FL Salary Range : Undisclosed 1000 NW 57TH CT, Miami, FL 33126 At ClareMedica, exceptional is the standard. Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the ClareMedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives. That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At ClareMedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities. Opportunity awaits – welcome to ClareMedica. This position reports to the...

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RISK ADJUSTMENT CODER

LibertyHealth System Wilmington, NC, USA

There's no place likeLiberty Healthcare ManagementCome explore career opportunities with Liberty Healthcare Management, a dynamic leader in the healthcare industry. Join us!We are currently seeking an experienced:RISK ADJUSTMENT CODERJob Summary:Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentationIdentify diagnosis and chart level impairments and documentation improvement opportunities for provider educationDevelop process for chart review Assist coding leadership and clinical team by making recommendations for process improvements to further enhance coding goals and outcomesMaintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulationsConsistently maintain a minimum 95% accuracy on coding quality auditsMeet minimum productivity requirementsAbility to work independently in a remote environmentHandle other related duties as required or assigned Job...

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HCC Coder

Baptist Health Little Rock, AR, USA

Job Summary: The HCC Coder will serve as a coding resource for internal departments within Medicare Advantage. This resource will be responsible for coding patient charts to capture hierarchical chronic conditions and assigning appropriate diagnosis codes from medical records within guidelines established by CMS. Requirements: Must be able to provide HS Diploma or GED Equivalent upon request Active certified coder certification through AHIMA or AAPC (CRC, CPC, CCS-P), required. Knowledge of medical terminology with an in-depth understanding of ICD-10-CM (knowledge and demonstrated understanding of Risk Adjustment coding and data). Strong clinical knowledge related to chronic illness diagnosis, treatment and management. Minimum 2 years' experience in medical coding preferred

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HCC Coding Auditor Senior - Health Plan Admin

Christus Health Irving, TX, USA

Summary:HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option.Responsibilities:Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment.Perform code...

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HCC Coding Auditor Senior - Health Plan Admin

DaVita Irving, TX, USA

Description Summary: HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option. Responsibilities: Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk...

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Risk Adjustment Coder

Sentara Virginia, MN, USA

City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder . Position Details Position Status: Full-time, Day Shift Position Location: Hybrid work model - 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office Standard Working Hours: 8:00AM to 5:00PM Role Overview This role involves educating primary & specialty care providers and staff on appropriate HCC coding & documentation through virtual sessions and in-person site visits. Responsibilities include retrospective auditing to ensure compliance with HCC coding & documentation guidelines. Education Requirements Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or related field or 4 years of medical coding experience in lieu of an associate's degree Certification/Licensure Required certifications: CPC, COC, CIC,...

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Senior Government Programs Risk Adjustment Coder

Capital BlueCross Harrisburg, PA, USA

Position Description: Base pay is influenced by several factors including a candidates qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more. At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and its why our employees consistently vote us one of the Best Places to Work in PA. The Capital Blue Cross...

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Risk Adjustment Coder

Sentara Healthcare Virginia Beach, VA, USA

City/StateVirginia Beach, VAWork ShiftFirst (Days)Overview:Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder.Position Status: Full-time, Day ShiftPosition Location: Hybrid work model - 1 day week on-site in Virginia Beach; initial onboarding & training will be in-officeStandard Working Hours: 8:00AM to 5:00PMOverviewThis role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in-person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines.EducationAssociate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related fieldorIin lieu of associate's degree, 4 years of medical coding experience is requiredCertification/LicensureOne of the following certifications are required: Certified Professional Coder...

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Risk Adjustment Coder

Sentara Virginia Beach, VA, USA

City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder . Position Details Position Status: Full-time, Day Shift Position Location: Hybrid work model - 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office Standard Working Hours: 8:00AM to 5:00PM Role Overview This role involves educating primary & specialty care providers and staff on appropriate HCC coding & documentation through virtual sessions and in-person site visits. Responsibilities include retrospective auditing to ensure compliance with HCC coding & documentation guidelines. Education Requirements Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or related field or 4 years of medical coding experience in lieu of an associate's degree Certification/Licensure Required certifications: CPC, COC, CIC,...

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Remote HCC Coding Auditor

A-Line Staffing Solutions Woonsocket, RI, USA

Job Title: Remote HCC Coding Auditor Pay: $ an hr | Bi-weekly Job Type: Remote Shift Options: Mon-Fri 8 am - 5 pm Remote HCC Coding Auditor Overview: The Coding....

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Risk Adjustment Coder

Collabera Newark, NJ, USA

Description Home Search Jobs Job Description Risk Adjustment CoderContract: Newark, NJ, New Jersey, USSalary Range: 40.00 - 42.00 | Per HourJob Code: 363128End Date: 2025-07-23 Days Left: 17 days, 3 hours leftApplyWe are Hiring!Job Title: Risk Adjustment CoderLocation: Remote (Newark, NJ)Duration: 6+ Months (Potential of Extension)Pay Range: $40/hr to $42/hr without benfits and PTO.About the Role:The Senior Professional Coder is responsible for providing services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state and federal regulations. They will be involved in activities related to Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA, and Medicare RADV. The Senior Professional Coder must maintain a minimum accuracy rate of 95% on coding quality audits.Responsibilities: Analyze data results from chart review findings and implement action plans to improve...

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HCC Risk Adjustment Coder

Medix New York, NY, USA

Job Title: Risk Adjustment Coding Auditor Highlights: Very investigative person who is reviewing the codes, looking for trends and mistakes and will be auditing thousands of pages of medical records. They need to have really strong RA experience and it is ideal if they have experience with a CMS Audit. This is a senior role and they need to have a CRC or another cert from the AAPC or another area. Position Summary: The Coding Auditor conducts coding audits to ensure that medical diagnostic codes submitted to CMS (Centers for Medicare and Medicaid Services), and other entities are accurate based on the practitioners' medical record documentation of members' health conditions. Duties & Responsibilities: Audits data, claim submissions, and member medical records for completeness, accuracy, and compliance with the company's policy and documents findings per departmental procedure Identifies patterns of under-performance, noncompliance, and inconsistencies and recommends resolutions...

30 (CRC) Certified Risk Adjustment Coder jobs