Oct 12, 2026

Certified Risk Adjustment Coder

Job Description

Supporting departmental Quality Assessment audits, the full-time Certified Risk Adjustment Coder will manage coding accuracy and data integrity for Medicare Risk Adjustment, working remotely to enhance performance standards and compliance. Key responsibilities Conduct regular quality assurance audits of internal Coding Analyst teams to ensure coding quality and performance improvement Track and report on coding vendor audits to verify accuracy and quality of data submitted to CMS Collaborate with Risk Adjustment Management on data validation and coding audits to ensure completeness and accuracy of submissions Required qualifications Minimum three years of Medicare Risk Adjustment coding experience in a medical group or health plan setting High School Diploma or GED, with completion of a Medical Coding training program Certified Coder required (CCS, CCS-P, CPC, or CRC) Proficient in MS Office Suite, with experience using Epic, Allscripts, or EZCap Ability to analyze statistical reports and perform mathematical calculations accurately