Hybrid | Des Moines, IA (Onsite Tues–Thurs, Remote Mon/Fri)
$40/hour | 6-Month Contract with Potential for Conversion
We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement.
This position requires onsite presence Tuesday–Thursday in Des Moines, IA with 10% local travel , and remote flexibility on Mondays and Fridays.
Position Overview This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices and support compliance with CMS guidelines.
Key Responsibilities Conduct comprehensive reviews of medical records for accurate HCC diagnosis capture
Validate diagnosis codes within Clinical Documentation Improvement (CDI) alerts
Identify missed or unsupported diagnoses and initiate provider queries
Ensure compliance with CMS, ICD-10-CM, and Risk Adjustment guidelines
Interact directly with physicians to improve documentation quality
Analyze findings and present documentation improvement opportunities
Support provider education initiatives and track performance metrics
Maintain strong collaboration with clinical leadership and network performance teams
Required Qualifications Active CRC certification (required)
Minimum 3–5 years of HCC coding and provider query experience
Experience conducting medical record reviews for Medicare Risk Adjustment
Strong knowledge of ICD-9/ICD-10 coding guidelines
Ability to confidently communicate with providers and clinical leadership
Advanced proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint)
Experience working within multiple EMR systems
Ability to manage deadlines and high-volume workload with accuracy
Preferred Qualifications 5+ years of clinical chart review or HCC medical record review
Clinical background (RN, CDI certification, or related credentials)
Experience presenting documentation findings to leadership teams
Bachelor’s degree in a related field (preferred)
What We’re Looking For Strong communicator who can professionally engage and educate providers
Detail-oriented with high accuracy and analytical ability
Self-starter who can work independently and onsite within a collaborative environment
Comfortable receiving and delivering feedback
If you are a confident Risk Adjustment professional who enjoys provider interaction and driving documentation excellence, we would love to connect.
#J-18808-Ljbffr