117 onsite medical coder jobs found

Prominence Health seeks a skilled Coder of Risk Adjustment to ensure accurate, compliant coding and documentation review supporting Medicare risk adjustment and organizational compliance. The coder performs post-review production coding, medical record abstraction for HEDIS data, and chart preparation for scheduled health assessments, guiding coding requirements for provider reviews. This is an onsite position. Knowledge of HEDIS data collection is required. #J-18808-Ljbffr

AIxBlock Operations Featured Jobs Special Referral HCC Risk Adjustment Medical Coder (USA-based only - Remote) Remote — United States HCC risk adjustment coding ICD-10-CM MEAT documentation CMS V28 Medical record review Coding quality assurance Special Referral gives your application an enhanced referral route, helping it stand out and potentially improving your chances of being considered. Important note: AIxBlock is building its contractor bench ahead of client engagements. Work volume will scale as its client pipeline grows; ongoing assignments are not guaranteed. About the role AIxBlock is looking for US-based experienced, certified HCC risk adjustment coders to join its contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 model standards within its purpose-built coder workbench platform. This is a remote, per-chart or hourly contract engagement. Volume will scale as the client...

AIxBlock is seeking US-based experienced, certified HCC risk adjustment coders to join its contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 standards within its coder workbench platform. This remote, per-chart or hourly contract engagement offers flexible scheduling and volume scaling with client engagements. Training is provided on the tooling and strict HIPAA and PHI safeguards apply. #J-18808-Ljbffr

GuideWell invites a Risk Adjustment Coder to work remotely, reviewing medical records and applying ICD-10 diagnosis codes for risk adjustment, while collaborating with the team to meet production targets with high accuracy. The role requires CPC/CCSP or AHIMA certification, 2+ years of experience, and strong ICD-10-CM proficiency. The company offers competitive pay and comprehensive benefits in a remote work environment. #J-18808-Ljbffr

Florida Blue Group is seeking a Risk Adjustment Coder to work remotely, collaborating with a dynamic team to ensure accurate diagnosis coding for risk adjustment. You will review records and apply ICD-10 codes in a compliant and timely manner. Under the Sr. Manager Risk Adjustment Audit, you will meet production targets while upholding 95% quality in coding and participate in process improvements. A strong medical terminology background and remote-work capability are essential. #J-18808-Ljbffr

A healthcare organization in California is seeking a Medical Coder to perform chart reviews, coding audits, and provide training on ICD-10 codes. The ideal candidate will have an AA or AS degree, relevant coding credentials, and two years of healthcare experience. Responsibilities include coding audits, maintaining knowledge of coding guidelines, and assisting with billing inquiries. This role offers competitive benefits including free medical, dental, and vision insurance. #J-18808-Ljbffr

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines....

HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population's care needs and risks. ACCOUNTABILITIES: Performs retrospective chart review for diagnosis coding accuracy. Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. Reviews vendor coding and provide recurring feedback and education to vendor team. Participates in internal and CMS-mandated risk adjustment data validation review. Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. Increases collaborative efforts...

Love Where You Work!Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.If you’re ready for a rewarding new career, join Team Bronson and be part of the experience.LocationBHG Bronson Healthcare GroupTitleHCC Risk Professional Coder Full-Time (80 hours per pay period)The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate competencies specific to the...

Risk Adjustment CoderPorter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.Position OverviewWe are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home...

Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients, each with unique coding requirements, while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy. Schedule: Monday - Friday (some weekends and overtime) Start: 8am-8:30am ET On-site: Pompano Beach, FL *This is not a lead or manager position Key Responsibilities Assign accurate ICD-10, CPT, and CPT II codes...

Job Title: HCC Medical Coder(3-5 years) Location: 100% Remote Interview Process: Video (2 Rounds) Work Schedule: Remote Job Description: We are seeking experienced HCC Medical Coders to support our client in a fully remote contract position. The ideal candidate will have strong experience in HCC/Risk Adjustment coding, ICD-10-CM guidelines, and clinical documentation review. Certified medical coders are eligible to apply. Key Responsibilities Perform HCC/Risk Adjustment medical coding based on clinical documentation. Review medical records to identify and accurately code reportable diagnoses. Apply ICD-10-CM coding guidelines and HCC coding methodologies. Ensure accurate, compliant, and documentation-supported coding. Identify potential coding gaps and validate diagnoses supported by medical records. Maintain required standards for coding accuracy, productivity, and quality. Stay updated on coding guidelines, regulatory changes, and HCC model updates. Collaborate...

SDH Systems LLC is seeking an experienced HCC Medical Coder for a fully remote contract position. The ideal candidate has 3-5 years of HCC/Risk Adjustment coding experience and strong ICD-10-CM knowledge to review clinical documentation. Certified medical coders are eligible to apply. You will work remotely with a focus on accuracy, productivity, confidentiality, and staying current with regulatory changes in healthcare coding. #J-18808-Ljbffr

SDH Systems LLC is seeking experienced HCC Medical Coders to support our client in a fully remote contract position in the United States. The ideal candidate will have strong experience in HCC/Risk Adjustment coding, ICD-10-CM guidelines, and clinical documentation review. Certified medical coders are eligible to apply. You will perform HCC/Risk Adjustment coding, review medical records, apply ICD-10-CM guidelines, ensure compliant coding, and stay updated on model changes while maintaining #J-18808-Ljbffr

Job Summary The Risk Adjustment Coder III is responsible for the accurate and timely assignment of medical diagnosis codes in accordance with established risk adjustment models, coding guidelines, and organizational standards. This role performs high-volume, production-based coding and chart review activities, following defined policies and procedures to ensure compliance and data accuracy. This position applies advanced coding knowledge but operates within established guidelines, with work subject to quality review and audit. Duties & Responsibilities Essential Duties & Responsibilities Medical Coding and Documentation Assign ICD-10-CM diagnosis codes based on medical records, clinical documentation, and encounter data in accordance with established coding guidelines. Perform detailed chart reviews to ensure accurate capture of diagnoses, including HCC codes, following risk adjustment requirements. Identify and correct coding discrepancies based on documented evidence...

Job TitleHCC Risk Professional Coder Full-Time (80 hours per pay period)The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must demonstrate competencies specific to the population served.High school diploma or general education degree (GED) required 12-18 months coding experience in a health care setting preferred. As of 5/22/2026, Certified Coding Credential required through the AAPC or AHIMA (CPC, COC, CCS, CCS-P, RHIA, RHIT, Etc.) required within 12 months of hire. Must have working knowledge of ICD-9 and...

Risk Adjustment CoderCome explore career opportunities with Liberty Healthcare Management, a dynamic leader in the healthcare industry. Join us!We are currently seeking an experienced:RISK ADJUSTMENT CODERJob Summary:Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentationIdentify diagnosis and chart level impairments and documentation improvement opportunities for provider educationDevelop process for chart reviewAssist coding leadership and clinical team by making recommendations for process improvements to further enhance coding goals and outcomesMaintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulationsConsistently maintain a minimum 95% accuracy on coding quality auditsMeet minimum productivity requirementsAbility to work independently in a remote environmentHandle other related duties as required or assignedJob Requirements:1 year of production...

Liberty Healthcare Management Come explore career opportunities with There's no place like Liberty Healthcare Management Come explore career opportunities with Liberty Healthcare Management, a dynamic leader in the healthcare industry. Join us! We Are Currently Seeking An Experienced RISK ADJUSTMENT CODER (MUST RESIDE IN NC) Job Summary Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education Develop process for chart review Assist coding leadership and clinical team by making recommendations for process improvements to further enhance coding goals and outcomes Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations Consistently maintain a minimum 95% accuracy on coding quality audits Meet minimum productivity requirements Ability to work...

CURRENT BRONSON EMPLOYEES - Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you’re ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group Title HCC Risk Professional Coder Full-Time (80 hours per pay period) The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and complex surgical cases (e.g. Neurosurgery, Cardiothoracic Surgery). Employees providing direct patient care must...

Liberty Healthcare Management in Wilmington, North Carolina seeks an experienced Risk Adjustment Coder to perform ICD-10-CM code abstraction from medical records, ensuring codes are accurate and clinically supported. You will identify chart level impairments, develop review processes, advise on documentation improvements, and help leadership meet CMS requirements while maintaining high audit accuracy in a remote environment. #J-18808-Ljbffr

Risk Adjustment Coder Location: Baton Rouge, LA 70809 Contract Length: 4 Months Position Summary We are seeking an experienced Risk Adjustment Coder with a strong background in Medicare Advantage Risk Adjustment and ACA Risk Adjustment coding. This position supports ongoing risk adjustment initiatives through accurate coding, medical record review, documentation validation, and quality assurance activities. The coder will help ensure compliance with CMS and other regulatory requirements while supporting risk adjustment accuracy and revenue integrity goals. Candidates should have demonstrated experience with CMS-HCC coding methodologies, medical record review, and risk adjustment documentation validation. This position works under general supervision and does not have direct supervisory responsibilities. Key Responsibilities Review and assess medical record documentation and accurately assign ICD-10-CM diagnosis codes for Medicare Advantage and ACA Risk Adjustment programs....

Sanford Health, the largest rural health system in the United States, seeks a Coding Audit Specialist to ensure the accuracy of CMS/DHS risk adjustment data. You will audit medical records for correct coding (CPT, ICD-9/10, HCPCS) and develop monitoring programs across Medicare Advantage, ACA/Exchange, and BadgerCare Plus. Requirements include a high school diploma, 3 years in health insurance or auditing, and CPC/CRCoder within one year. #J-18808-Ljbffr

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Coder of Risk Adjustment will be responsible for accurate,...

Risk Adjustment Coder Specialist Main Office - Santa Barbara, CA 93110 Start Date 10/02/2026 Overview Salary Range $31.17 - $45.20 Hourly Position Type Full Time Category Financial Analytics Description Central Coast Salary Range: $31.17 - $45.20 Job Summary The Risk Adjustment Coder Specialist ensures accurate medical diagnosis data submission to CMS for CenCal Health Medicare Advantage D-SNP line of business. This role optimizes diagnosis documentation, identifies barriers to appropriate risk adjustment, oversees outsourced vendor coding for CMS compliance, and partners with provider outreach teams to educate providers on accurate and comprehensive medical coding. Duties & Responsibilities Perform reviews of records to identify, validate, and ensure accurate capture of diagnosis codes aligned with CMS-HCC, HHS-HCC, ICD-10-CM and applicable risk adjustment requirements. Oversee vendor coding activities, including monitoring work quality, reviewing vendor...