We’re unique. You should be, too. We’re changing lives every day for both our patients and our team members. You should be innovative, entrepreneurial, and have an outstanding work ethic. If you inspire others with kindness and joy, we want you on our team. Responsibilities Ensure compliance with all applicable federal, state, and local coding and documentation regulations for Risk Adjustment Reviews, including medical records, patient histories, physical exams, orders, progress notes, consultations, diagnostic reports, operative and pathology reports, and discharge summaries. Verify that diagnosis codes are supported by documentation and adhere to ICD‑10‑CM guidelines. Confirm that diagnosis codes for each chronic or major medical condition are captured correctly. Query providers on any unsubstantiated diagnosis codes and assess accuracy. Review clinical indicators and collaborate with providers to capture patient severity of illness. Identify opportunities to improve individual member risk adjustment score accuracy. Provide feedback to internal clients on documentation, physician self‑coding, and missed opportunities, ensuring quality and timely care and correct reimbursement. Identify clinical coding and documentation trends and training needs to improve quality of documentation. Attend all required meetings. Perform other duties as assigned by management. Knowledge, Skills & Abilities Advanced understanding of medical terminology, anatomy, physiology, and disease processes. Experience with electronic medical record systems. Ability to manage a high workload and work efficiently under pressure with minimal supervision. Strong time‑management, written and oral communication, and follow‑up skills. High degree of accuracy, efficiency, and dependability. Preferred ability to work remotely after meeting quality and production targets; must attend the office weekly as required. Travel required 0‑10%. Education & Experience Criteria High School Diploma or GED required. Certified coding certificate required (APPC or AHIMA preferred). CRC certification or 3‑5 years of risk‑adjustment coding experience acceptable. Minimum of 2 years’ experience in a primary care environment required. Proficiency in Microsoft Office Suite (Excel, charts, tables). Strong knowledge of CPT/ICD‑9 & 10 and medical terminology. Pay Range $24.00 – $34.25 hourly. Final compensation will depend on experience, education, location, and other factors. This position may also be eligible for bonuses or commissions. Benefits We offer comprehensive benefits, career development opportunities, and a supportive work environment that promotes work‑life balance. #J-18808-Ljbffr