Sep 25, 2026

Pennsylvania Licensed Risk Adjustment Coder

Job Description

To support accurate risk adjustment coding and documentation initiatives, the full-time Pennsylvania Licensed Risk Adjustment Coder will analyze coding trends, perform retrospective chart reviews, assign ICD-10-CM diagnosis codes, and collaborate with providers and operational teams while working remotely. Key Responsibilities Analyze Medicare Risk Adjustment (MRA) data to identify coding, documentation, and performance trends Conduct retrospective medical record audits to validate coding accuracy and documentation completeness Partner with providers and coding teams to improve coding performance and documentation practices Required Qualifications Certified coding credential required (CRC, CPC, CCS, RHIT, RHIA, or equivalent preferred) 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 and risk adjustment principles