Apr 13, 2026

New York Licensed Risk Adjustment Coder

Job Description

A company is looking for a Risk Adjustment Coder. Key Responsibilities Perform code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes Review medical records for compliance with CMS requirements and identify improvement opportunities in documentation and coding processes Maintain current knowledge of coding standards and regulations, supporting the Medicare Risk Adjustment team in provider education Required Qualifications, Training, and Education Minimum of three recent years of experience in HCC/Risk Adjustment and/or inpatient coding Relevant certifications such as CPC, CRC, RHIT, or RHIA from AAPC or AHIMA are required Strong knowledge of clinical terminology, disease processes, anatomy, physiology, and pharmacology Understanding of claims processing procedures and state, federal, and Medicare regulations Must reside in New York, New Jersey, or Connecticut