2 coding validation coder i jobs found

Risk Adjustment Coder I / Coder II (RADV Audit) Position Overview: We are seeking experienced Risk Adjustment Coders to support high-volume Risk Adjustment Data Validation (RADV) audit activities in alignment with CMS RADV program requirements and internal compliance standards. This role is responsible for reviewing and validating diagnosis coding, ensuring documentation accuracy, and supporting audit readiness initiatives related to CMS HCC risk adjustment programs. Candidates may be considered for either the Coder I or Coder II level based on experience and audit expertise. Contract Duration: *This is a short term contract from June - September with a possibility of extension!* Coder I – RADV Audit Coder Responsibilities: Review inpatient and outpatient medical records to identify and validate diagnosis codes Abstract and assign ICD-10-CM diagnosis codes based on clinical documentation Apply CMS risk adjustment guidelines and HCC model rules when validating coded conditions...

We’re Hiring: Nurse DRG Auditors (Payment Integrity) + Inpatient & RN Coders | Remote We’re growing and looking for detail-driven, high-impact healthcare professionals to join our team! If you’re passionate about coding accuracy, DRG validation, and revenue integrity, this is your opportunity to work with a collaborative, forward-thinking organization. Featured Role: Nurse DRG Auditor – Payment Integrity Salary: $95,000 – $105,000 Location: Remote What You’ll Do: Perform DRG validation and quality audits to ensure coding accuracy and appropriate reimbursement Analyze clinical documentation and coding for payment integrity opportunities Apply Medicare/CMS guidelines to validate claims and identify discrepancies Partner with coding, CDI, and compliance teams to drive accuracy and outcomes What You Bring: RN Required National Coding Certification (CIC, CCS, etc.) 2+ years of recent DRG Quality Auditing experience (hospital or health plan) Strong expertise in ICD-10-CM/PCS Deep...