Dec 27, 2025

Risk Adjustment Coder - Remote (P)

Job Description

Job DescriptionJob DescriptionDescription :This is a flexible CMS HCC / Risk Validation Audit role for a seasonal project.Other opportunities for continued work may be available at the conclusion of the project.Flexible work hours - nights and weekends are acceptable.Coders will review member and claim data validation aspects, which include :Member name, Member DOB, Gender, Dates of service, claim type, and provider signatureCoders will be presented with all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stayMust be able to identify acceptable provider specialtyCoder must have knowledge of ICD-10-CM IP and OP codingCoders will confirm or not confirm each diagnosisCoders will add risk-adjusting diagnoses that are valid but not reportedRequirements :Active certification through AAPC or AHIMA is requiredMinimum 5 years verifiable risk adjustment coding experience post certificationMust be able to maintain a 95% accuracy rate and 3 CPHUS-Based Candidates Only.