Medical Record Coder

Duties include performing audits of health status by performing primary source validation comparison of medical record documentation to the corresponding paid claim to ensure all risk adjusted diagnosis in the medical record and on the claim align and originate from a valid source. 

Core duties and responsibilities include the following:

• Performs quality reviews on records to validate coding according to the International Classification of Diseases Manual (ICD-10) for diagnoses and coding guidelines.
• Review medical records to validate diagnosis on the claim are supported by the medical record documentation
• Review medical records to ensure all relevant diagnosis for a date of service were documented by the provider on the corresponding claim.
• Works individually and/or within a team to validate the health status which determines the risk score and HCC for health plan members including:
  • Service Code Accuracy (CPT/HCPCS)
  • Diagnosis Codes Accuracy for codes impacting risk scores
  • Conditions Active and/or are Under Current Treatment
  • No Conditions were Missed (i.e. identify chronic and acute conditions that were not captured)

This position requires 5 years of active coding experience and an active certification.

The position can be worked full-time or part-time (minimum commitment of 20 hours per week).  Schedule and hours are flexible including evening and weekend hours.

This is a seasonal position from July 22st- December 11th, 2026.  The position's compensation includes an end of assignment bonus of $1,500.

The Medical Record Coder is a temporary position reporting to a Manager and is classified as nonexempt.