Risk Adjustment Medical Coder Location: Remote
Schedule: Monday-Friday, 8:30 AM - 5:00 PM
Duration: April 1 - June 26
About the Role We are seeking an experienced
Risk Adjustment Medical Coder to support coding accuracy and compliance initiatives related to risk adjustment and reimbursement. This role focuses on reviewing clinical documentation, assigning appropriate diagnosis codes, and ensuring adherence to regulatory guidelines. The ideal candidate thrives in a remote environment and consistently delivers high-quality, accurate work.
Key Responsibilities - Review medical records and encounter data to assign accurate diagnosis codes in alignment with risk adjustment and regulatory standards
- Analyze clinical documentation for completeness and specificity to ensure proper code assignment
- Identify and resolve coding discrepancies while maintaining compliance with established guidelines
- Document coding decisions and maintain organized, detailed records
- Collaborate with internal teams to support coding quality and consistency initiatives
- Safeguard protected health information and maintain strict confidentiality
- Meet established productivity and quality benchmarks
- Assist with additional coding projects and initiatives as needed
Required Qualifications - High school diploma or equivalent
- Professional coding certification required (one of the following):
- RHIT (Registered Health Information Technologist)
- CPC (Certified Professional Coder)
- CCS-P (Certified Coding Specialist - Physician)
- CRC (Certified Risk Adjustment Coder)
- 3-5 years of professional coding experience in a physician practice or risk adjustment setting
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems
- Experience reviewing clinical documentation and assigning diagnosis codes accurately
- Excellent attention to detail and commitment to accuracy
- Ability to manage confidential information responsibly
- Proficiency in Microsoft Word and Excel
- Ability to quickly learn new systems and platforms
Preferred Skills - Experience working in a remote coding environment
- Familiarity with risk adjustment methodologies and regulatory requirements
- Strong organizational and time management skills
- Ability to work independently and meet deadlines
- Strong written and verbal communication skills
- Adaptability to changing guidelines or workflows
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients