Palm Beach ACO, LLC

The Senior Risk Adjustment Coder is responsible for accurate and compliant risk adjustment coding through retrospective documentation auditing, provider-facing education, and two-sided chart reviews. This role partners closely with physicians, practice staff, and operational teams to improve documentation specificity, support new PCP onboarding, reinforce ongoing education, and enhance RAF accuracy, compliance, and revenue integrity across targeted populations. Essential Duties and Responsibilities: Conduct retrospective documentation audits to validate diagnosis capture, coding accuracy, and compliance with CMS, ICD-10-CM, and organizational guidelines Perform two-sided chart reviews to identify documentation gaps, unsupported diagnoses, and opportunities for recapture and coding specificity Evaluate medical records for complete and compliant support of submitted diagnoses, including assessment of M.E.A.T. criteria where applicable Develop and deliver physician education...

Palm Beach Accountable Care Organization, LLC seeks a Senior Risk Adjustment Coder to lead retrospective audits, two-sided chart reviews, and education efforts with physicians and practice staff to improve RAF accuracy and compliance. You will review records for CMS/ICD-10-CM alignment, develop provider education on HCC capture, support PCP onboarding, and collaborate with PES and operations to raise coding quality and program performance. #J-18808-Ljbffr