485 risk adjustment coder jobs found

Gonzaba Medical Group is seeking a skilled Risk Adjustment Coder to document and validate acuity diagnoses for the Medicare Advantage population. You will review medical records, code ICD-10-CM, CPT, and HCPCS, and ensure documentation supports reported HCC codes under capitated contracts. The role requires AHIMA or AAPC certification and 3+ years of Risk Adjustment experience, with HIPAA compliance and strong attention to detail. #J-18808-Ljbffr

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 in translating clinical documentation...

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 in translating clinical documentation...

Datavant is seeking an experienced HCC coder to review medical records and assign accurate ICD-10-CM codes for risk adjustment and reimbursements. You will work across client projects, maintaining a 95% coding accuracy and complying with guidelines. The role supports a remote working environment with a 40-hour work week and requires AHIMA/AAPC credentials plus strong medical terminology knowledge. Datavant emphasizes diversity, equal opportunity, and a high-performance culture, with total #J-18808-Ljbffr

Datavant is seeking an experienced HCC coder to review medical records and assign ICD-10 diagnoses for risk adjustment and reimbursement. You will code according to client guidelines and maintain high accuracy while working in a fast-paced environment. Ideal candidates have 2+ years of HCC coding, AHIMA/AAPC credentials, and can work remotely. The role requires 40 hours per week and adherence to coding standards and deadlines. #J-18808-Ljbffr

Datavant is seeking an experienced HCC coder to review medical records, code diagnoses, and ensure accurate risk adjustment and reimbursement. The role requires adherence to ICD-10-CM guidelines and a high standard of accuracy, with potential involvement in multiple client projects. Candidates must have at least 2 years of HCC coding, extensive ICD-10 knowledge, and be capable of working remotely in a fast-paced production environment. RHIA/RHIT/CCS or CPC credentials are preferred. #J-18808-Ljbffr

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 in translating clinical...

Datavant seeks an experienced HCC coder to review medical records and code diagnoses using ICD-10 CM, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. You will work on multiple client projects in a fast-paced remote environment, maintaining 95% coding accuracy while following guidelines and policies. Must have 2+ years of HCC coding, extensive ICD-10 knowledge, and be able to work independently 40 hours weekly. #J-18808-Ljbffr

Medasource is seeking experienced Risk Adjustment Coders to support Centene’s Risk Adjustment Data Validation (RADV) audit initiative. This is a fully remote contract opportunity supporting CMS RADV audit and coding validation activities. The ideal candidates will have strong risk adjustment coding experience, a detailed understanding of CMS guidelines and HCC models, and the ability to accurately review medical records and validate submitted diagnoses. Accuracy and attention to detail are critical to the success of this project. Location: 100% Remote Employment Type: W2 Contract Contract End Date: September 30, 2027 Schedule: Full-time, Monday-Friday Pay Range: $27-$29/hour, based on experience and level Project Overview Our client is expanding its support for CMS Risk Adjustment Data Validation (RADV) audit activities. Risk Adjustment Coders will be responsible for reviewing medical records and audit packages to validate member information, diagnosis coding, HCC conditions, and...

Location: Florida, New York, United StatesCompany: ADPPosted: ADP, Inc. in New York is seeking a Senior Risk Adjustment Coder to drive accurate, compliant risk adjustment coding through retrospective audits, chart reviews, and provider education. The role partners with physicians, practice staff, and operations to improve RAF accuracy, support onboarding, and sustain ongoing education on documentation integrity and coding guidelines across Medicare Advantage and related programs.#J-18808-Ljbffr

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support the Northern California market, including San Francisco, San Mateo, and Santa Clara. You will conduct high-volume chart reviews to identify coding gaps and educate providers to improve CMS risk adjustment accuracy and KPIs. Travel up to 50–75% of time to provider offices, with a hybrid work structure combining field and remote work. #J-18808-Ljbffr

Tier4 Group is seeking an Experienced Risk Adjustment Coder with Medicare Advantage and ACA coding expertise to support risk adjustment initiatives, medical record review, documentation validation, and QA activities. This role ensures CMS compliance and revenue integrity while working remotely under general supervision. The candidate will review records, assign ICD-10-CM codes for MA/ACA programs, perform audits, and contribute to RADV activities. #J-18808-Ljbffr

Medasource is seeking experienced Risk Adjustment Coders to support CMS RADV audit initiatives. This fully remote contract role requires accuracy in reviewing medical records, validating diagnoses, and ensuring CMS RADV compliance. Ideal candidates have risk adjustment coding experience, CMSGuidelines knowledge, and the ability to maintain high quality across RADV submissions. Contract ends 2027-09-30 with full-time schedule and remote work. #J-18808-Ljbffr

Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume, remote seasonal project supporting Medicare initiatives. Coders will review and code records with a target of 2 charts per hour. Candidates must have Medicare HCC experience, at least 18 months in risk adjustment coding, and certifications such as CCS, CPC, or CRC. Benefits include medical, dental, vision, HSA/FSA/DCFSA and 401k; paid time off. #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...

Location: Florida, New York, United StatesCompany: ADP, Inc.Posted: The Senior Risk Adjustment Coder is responsible for accurate and compliant risk adjustment coding through retrospective documentation auditing, provider-facing education, and two-sided chart reviews. This role partners closely with physicians, practice staff, and operational teams to improve documentation specificity, support new PCP onboarding, reinforce ongoing education, and enhance RAF accuracy, compliance, and revenue integrity across targeted populations.Essential Duties and Responsibilities:Conduct retrospective documentation audits to validate diagnosis capture, coding accuracy, and compliance with CMS, ICD-10-CM, and organizational guidelinesPerform two-sided chart reviews to identify documentation gaps, unsupported diagnoses, and opportunities for recapture and coding specificityEvaluate medical records for complete and compliant support of submitted diagnoses, including assessment of M.E.A.T. criteria...

Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume, remote seasonal project supporting Medicare initiatives. Coders will review and code records with a target of 2 charts per hour. Candidates must have Medicare HCC experience, at least 18 months in risk adjustment coding, and certifications such as CCS, CPC, or CRC. Benefits include medical, dental, vision, HSA/FSA/DCFSA and 401k; paid time off. #J-18808-Ljbffr

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for the Northern California market. This role will conduct high-volume chart reviews to identify coding gaps and drive education for providers, with travel to provider offices up to 50% of the time in San Francisco, San Mateo, and Santa Clara. You will review data to ensure Medicare Advantage, ACA, and Commercial risk adjustment documentation requirements are met, and report on KPIs like HCC recapture and AWVs. #J-18808-Ljbffr

Datavant is seeking an HCC Risk Adjustment Coder to review medical records and assign ICD-10 diagnoses for risk adjustment and reimbursement. This remote, full-time role supports multiple client projects while maintaining high coding accuracy. You will apply ICD-10 CM guidelines, DRG policies, and payer requirements, with a target of 95% coding accuracy, working 40 hours per week in a production environment. #J-18808-Ljbffr

GuideWell, a Florida Blue subsidiary, offers a fully remote Risk Adjustment Coder role in the United States. You will review inpatient/outpatient records and assign ICD-10 codes to support risk adjustment programs with strong quality control and production targets. The position requires 2+ years of experience and active CPC/CCSP or AHIMA certification, plus ICD-10-CM proficiency and solid MS Office skills. A remote, detail-oriented professional who can work independently will thrive. #J-18808-Ljbffr

Datavant and Savant Bio Partner to Deliver End-to-End Clinical Record Retrieval and Abstraction for High-Fidelity Real-World Data. Read more Need help with record requests? Datavant Connect Login Back to Jobs HCC Risk Adjustment Coder 8250 Remote - United States Full-time regular 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...

Florida Blue Group is seeking a Risk Adjustment Coder to work remotely and independently. You will review records, assign ICD-10 codes for risk adjustment, and ensure accuracy and compliance while meeting production targets. The role requires active CPC/CCSP or AHIMA certification, 2+ years of related experience, and proficiency with ICD-10-CM guidelines. A remote, production-based environment is offered with comprehensive benefits. #J-18808-Ljbffr

Palm Beach Accountable Care Organization, LLC seeks a Senior Risk Adjustment Coder to lead retrospective audits, two-sided chart reviews, and education efforts with physicians and practice staff to improve RAF accuracy and compliance. You will review records for CMS/ICD-10-CM alignment, develop provider education on HCC capture, support PCP onboarding, and collaborate with PES and operations to raise coding quality and program performance. #J-18808-Ljbffr

Datavant and Savant Bio Partner to Deliver End-to-End Clinical Record Retrieval and Abstraction for High-Fidelity Real-World Data. Read more Need help with record requests? Datavant Connect Login Back to Jobs HCC Risk Adjustment Coder 8250 Remote - United States Full-time regular 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...