164 professional coder jobs found

Porter Cares, Inc. is hiring a Risk Adjustment Coder to improve coding accuracy and facilitate effective in-home health assessments. The ideal candidate will possess a CPC or CSS certification and have a minimum of 5 years of risk adjustment coding experience. Responsibilities include coding assignments, managing documentation accuracy, and supporting coding education initiatives. The position offers a competitive wage between $50,000 - $54,000 annually with opportunities for professional growth. #J-18808-Ljbffr

Millennium Physician Group in Indiana seeks a Risk Adjustment Coding Specialist I. This hybrid role reviews records for underlying diagnoses, collaborates with clinicians, and ensures compliant documentation and coding across patient care encounters. The ideal candidate has 1+ year healthcare experience, CPC/CDEO or AHIMA credentials, and is detail-driven with strong communication skills. Travel is minimal and the team emphasizes accuracy and confidentiality. #J-18808-Ljbffr

Risk Adjustment Coder 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 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 independently in a remote environment Handle other related duties as required or...

DaMar Staffing is seeking an experienced Risk Adjustment Coder for a 4-month contract in Baton Rouge, LA. The role focuses on Medicare Advantage and ACA risk adjustment coding, documentation validation, and quality assurance. You will review medical records, apply CMS-HCC coding methodologies, and collaborate with stakeholders to support revenue integrity while maintaining deadlines. Remote work possible; candidates must have at least 3 years of coding experience and relevant certifications. #J-18808-Ljbffr

Datavant, the data collaboration platform for healthcare, is seeking an HCC coder to review medical records and code diagnoses using ICD-10 CM guidelines, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. The role requires a minimum of 2 years' HCC coding, extensive ICD-10 knowledge, and AHIMA or AAPC credentials. You must be able to work remotely, manage time efficiently, and thrive in a fast-paced environment. #J-18808-Ljbffr

Endeavor Health in Skokie, IL seeks an Ambulatory Risk Adjustment Coding Specialist to identify and code HCCs in outpatient visits, ensuring documentation supports CMS risk scores. This role collaborates with ambulatory CDS and physicians to validate codes and improve documentation and coding accuracy. The position requires a High School diploma, CRC certification within six months, and 2 years in healthcare. #J-18808-Ljbffr

Risk Adjustment Coder IIThe Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization.Job Specifications and Core Competencies:Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare risk...

Endeavor Health is seeking an Ambulatory Risk Adjustment Coding Specialist in Skokie, IL. This full-time role demands accurate ICD-10-CM coding for CMS-HCC risk scores, with collaboration among ambulatory CDS and physicians to ensure documentation sufficiency. Ideal candidates have a High School Diploma (Associate degree preferred), CRC certification within 6 months, and at least 2 years in healthcare. Flexible hours, strong compliance focus, and ongoing education are offered. #J-18808-Ljbffr

Datavant is seeking an experienced HCC coder to review and code diagnoses in patient records according to project guidelines. You will ensure ICD-10 CM and DRG compliance while maintaining high accuracy in a remote environment. The role requires a minimum of 2 years of HCC coding, AHIMA or AAPC credentials, and the ability to manage multiple client projects with deadlines. A strong medical terminology background is essential. #J-18808-Ljbffr

Millennium Physician Group is seeking a Risk Adjustment Coding Specialist I in Indiana. This hybrid role requires review of medical records to identify clinical indicators of underlying diagnoses and to present findings for clinician review during encounters. Responsibilities include verifying insurance, obtaining prior authorizations, maintaining HIPAA compliance, and staying current with Medicare guidelines and coding rules. #J-18808-Ljbffr

Millennium Physician Group in Indiana is seeking a Risk Adjustment Coding Specialist II to review patient records after visits and translate documentation into provider-selected ICD-10-CM codes for claims processing. You will collaborate with the MRA Department to validate codes to the highest specificity, identify missing information, and maintain professional certifications while ensuring HIPAA compliance and timely submissions. #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....

Datavant is seeking an HCC coder to review medical records and assign accurate diagnoses using ICD-10-CM guidelines. The role requires at least 2 years of HCC coding experience and a strong knowledge of medical terminology. Candidates must be able to work remotely for 40 hours per week and maintain a high coding accuracy. Ideal applicants will hold AHIMA or AAPC credentials (RHIA/RHIT/CCS or CPC family; CRC preferred) and demonstrate excellent written and verbal communication. #J-18808-Ljbffr

Sentara Medical Group in Virginia Beach, VA is hiring a full-time hybrid Risk Adjustment Coder. The role involves in-office presence 1–2 days per week with remote work options, and occasional travel to support collaboration and business objectives. Responsibilities include risk adjustment coding per CMS/HHS guidelines, RADV audits, and reviews of professional and inpatient/outpatient services to ensure accurate HCC capture. Certification in CRC within two years is required. #J-18808-Ljbffr

City/StateVirginia Beach, VAWork ShiftFirst (Days)Overview:Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!Hours: Monday - Friday, dayshift.This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week or must be able to do site visits. The role also includes travel as needed to support business objectives and team collaboration.OverviewPerforms compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. POSITION TITLE: HCC Auditor ROLE TYPE: Full Time (32+hours) / Part Time (25-30 hours) EMPLOYMENT TYPE: Non-Exempt JOB SUMMARY: The HCC Auditor is responsible for completing quality assurance reviews on internal or...

Datavant is a data collaboration platform trusted for healthcare, enabling secure, accessible and actionable health data. As an HCC coder, you will review medical records to identify and code diagnoses using standardized systems, ensuring accurate representation for risk adjustment and reimbursement. You will review, analyze, and code diagnostic information in accordance with ICD-10-CM guidelines and client-specific rules, aiming for a 95% accuracy rate. #J-18808-Ljbffr

Edward Elmhurst Health in Skokie, IL is seeking an Ambulatory Risk Adjustment Coding Specialist to identify HCC codes in physician outpatient visits and ensure they are coded with highest specificity. You will verify that documentation meets CMS requirements and work with ambulatory CDS to confirm code accuracy. Responsibilities include abstracting HCCs, identifying chart-level impairments, partnering with physicians to improve documentation, onboarding new staff, keeping ICD-10-CM knowledge #J-18808-Ljbffr

Job Description Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.  By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role...

Cano Health seeks a Risk Adjustment Coder III to assign ICD-10-CM codes from medical records, ensuring accuracy with HIPAA-compliant documentation. You will perform detailed chart reviews, apply CMS-HCC guidelines, and participate in audits to uphold data quality. Collaboration with clinical teams is essential. Qualified candidates have 5+ years in medical coding, CPC/CCS certification, and strong attention to detail. #J-18808-Ljbffr

Rendr is seeking a Certified Risk Adjustment Coder to enhance the quality of coding documentation and data within the HCC database. You will apply ICD-10-CM coding and map to risk adjustment models to support accurate reimbursement. In this role, you will review records for accuracy, stay updated with coding guidelines, and collaborate on quality improvement initiatives while complying with HIPAA and organizational policies. This position emphasizes precision and adherence to standards. #J-18808-Ljbffr