Medical Coder - Risk Adjustment CodingRequired Skills & Experience:Certified coder (CPC, CCS, CRC, CCA, or equivalent certification)Strong ICD-10-CM coding experience and medical record review backgroundKnowledge of Risk Adjustment and HCC coding methodologiesExperience reviewing physician documentation and assigning accurate diagnosis codesStrong understanding of medical terminology, anatomy, physiology, and disease processesAbility to interpret complex clinical documentation with high accuracy and productivityFamiliarity with CMS guidelines and Medicare Advantage requirementsNice to Have Skills & Experience:Medicare Advantage Risk Adjustment experienceExperience working with CMS-HCC modelsCRC (Certified Risk Adjustment Coder) certificationExperience with EMRs and coding software platformsBackground in a health plan, physician practice, hospital, or revenue cycle environmentAudit and quality assurance experienceJob Description:Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting.Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence. This role offers the opportunity to work closely with providers and healthcare teams to improve coding accuracy, enhance documentation quality, and support critical risk adjustment initiatives. Candidates with Medicare Advantage and HCC coding experience will be highly sought after.Day-to-Day:Review medical records, physician documentation, and clinical data to identify reportable diagnosesAssign accurate ICD-10-CM diagnosis codes based on coding guidelines and documentationIdentify diagnoses impacting Risk Adjustment and HCC reportingValidate coded diagnoses against clinical evidence and documentation standardsPerform prospective and retrospective chart reviewsIdentify missed, unsupported, or incorrectly coded diagnosesEnsure compliance with CMS, Medicare Advantage, HIPAA, and organizational coding requirementsParticipate in coding audits and quality assurance initiativesCommunicate coding and documentation questions with providers and clinical staffStay up to date on ICD-10, HCC, and CMS regulatory changes