385 risk adjustment coder jobs found

Intermountain Health in Las Vegas, NV seeks an entry-level Risk Adjustment Analyst to learn auditing and coding for CMS/HHS programs. The role covers documentation review, coding accuracy, and supporting senior analysts while pursuing CRC certification within 1 year of hire. Responsibilities include auditing chart notes, using EMR and coding software, and maintaining HIPAA-compliant data handling. 40-hour workweek with competitive benefits is offered. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV, is seeking an entry-level Risk Adjustment Analyst to learn coding for MA, Medicaid, and ACA programs. You will audit clinical documentation post-visit to ensure CMS/HHS-aligned coding and participate in audits on a limited basis. The role requires CRC certification within 1 year of hire and active learning across CMS guidelines, with responsibilities in chart reviews, documentation in a Risk Adjustment database, and use of EMR and coding software. #J-18808-Ljbffr

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Orange County operations. You will conduct high-volume chart reviews to identify coding gaps, then translate findings into education for providers and practice leaders, driving HCC recapture and KPI improvements. olla You will travel to provider offices up to 75% and collaborate with IPA teams, offering auditing and education to ensure CMS, Medicare and payer guidelines are met while staying current on ICD-10/HCC updates. #J-18808-Ljbffr

Intermountain Health seeks an entry-level Risk Adjustment Analyst to learn and apply coding practices for MA, Medicaid, and ACA programs. You will audit clinical documentation post-visit to ensure CMS/HHS guidelines are followed, with CRC certification pursued within the first year. Responsibilities include supporting higher-level analysts, maintaining coding workflow knowledge, and documenting reviews in a Risk Adjustment database, while complying with HIPAA and contributing to audits as needed. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV seeks an entry-level Risk Adjustment Coding Analyst. The role focuses on auditing clinical documentation to ensure accurate CMS/HHS coding and reimbursement, with the CRC certification path within one year of hire. You will support higher level analysts, maintain coding workflow knowledge, and document chart reviews in the Risk Adjustment database. This position requires the ability to work with EMR systems and Microsoft Office while building subject matter #J-18808-Ljbffr

Liberty Healthcare Management in Wilmington, NC seeks an experienced Risk Adjustment Coder to abstract medical records for ICD-10-CM coding with high accuracy. Responsibilities include identifying chart level impairments, developing chart review processes, and advising leadership on process improvements. Must stay current with ICD-10-CM codes and CMS requirements; remote work available. #J-18808-Ljbffr

A healthcare provider in Knoxville is seeking a full-time Certified Medical Coder. The position requires thorough clinical documentation reviews and accurate coding of HCC diagnoses using ICD-10-CM guidelines. Candidates must have current CPC or RHIT certification, be team players with strong communication skills, and maintain HIPAA privacy. This remote role involves occasional onsite meetings, making it crucial for candidates to reside in the Knoxville area. #J-18808-Ljbffr

Remote Contract Position Job Duties: Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment Meet department production and quality standards Research regulatory guidelines for supporting documentation Prepare coding reports using excel Prepare oral and/or written reports of work activity to Supervisor Be responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information. Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach Other duties as assigned Minimum Requirements: Minimum 3 years of PACE risk adjustment coding experience Extensive ICD-10-CM coding experience, with Risk Adjustment models for PACE Excellent written and verbal communication skills Ability to "own" project and complete charts assigned in work queue daily Detail oriented and deadline driven attitude Ability to think critically and determine the best...

CorroHealth Inc is seeking Risk Adjustment Coding Specialists to join the HCC Coding Team. This role involves reviewing medical records to abstract codes following Medicare and specific client requirements. The position is remote, part-time with flexible hours after meeting productivity goals. Qualified candidates should have recent HCC coding experience, a valid coding credential, and excellent communication skills. Responsibilities include coding records and maintaining high quality standards. #J-18808-Ljbffr

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

Suvida Healthcare is seeking a Risk Adjustment Coder to enhance documentation and coding accuracy in patient records. This role involves reviewing medical documents, providing feedback, and educating healthcare providers on coding standards to deliver high-quality care for our seniors. Ideal candidates will have a strong background in ICD-10 coding, possess excellent communication skills, and work well in a collaborative environment. Join us in making a meaningful impact within a diverse and dedicated team. #J-18808-Ljbffr

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

Prominence Health is seeking a Senior Coder responsible for documentation and coding review of medical records at partnered medical practices. This role involves working with provider offices to ensure accurate reporting of diagnoses and service codes. The position may require occasional onsite work and travel for provider education. Qualified candidates should have 3+ years of experience in CMS coding and certification, with the ability to communicate effectively and work independently in a #J-18808-Ljbffr

Broward Health Corporate ISC is seeking a skilled medical coder to ensure E/M and diagnosis coding aligns with documented records. You will apply ICD-10-CM, CPT-4 and HCPCS codes following CMS guidelines and Broward Health policies. The role requires 2-5 years of risk adjustment coding experience with CPC and CRC credentials, focusing on accurate documentation review and payer submission. #J-18808-Ljbffr

Intermountain Health in Las Vegas, NV is seeking an entry-level Risk Adjustment Analyst who will learn to demonstrate general proficiency in Medicare Advantage, Medicaid, and ACA coding. You will audit clinical documentation post-visit to ensure accurate coding under CMS/HHS guidelines and prepare data for audit reporting. The position requires completing CRC certification within 12 months and supports development through on-the-job training, Microsoft Office and EMR familiarity, and ongoing #J-18808-Ljbffr

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...

TEKsystems is seeking a Senior Risk Adjustment/Coding Specialist to evaluate and ensure accuracy of risk adjustment reporting. The role involves reviewing both inpatient and outpatient records, ensuring CMS/HCC alignment, and protecting patient privacy under HIPAA. This contract position is based out of Jacksonville, FL, but offers full remote work. Ideal candidates have 7+ years in risk adjustment coding, CRC certification, and strong MS Office skills. #J-18808-Ljbffr

Position Summary About Orlando Health At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is...

Job Title Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC....

## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter, FLtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR4147It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.**Duties & Responsibilities****Essential Duties & Responsibilities*** Review medical record information to identify all appropriate coding...

Intermountain Health in Las Vegas, NV is seeking an entry-level Risk Adjustment Analyst to learn coding practices for CMS/HHS programs and audit clinical documentation for accuracy. The role requires pursuing CRC certification within 1 year of hire; you will support senior analysts, maintain documentation in risk adjustment databases, and work with EMR and coding software while ensuring HIPAA compliance. #J-18808-Ljbffr

Baptist Health is seeking a Certified Professional Coder to perform medical record reviews and coding to support risk adjustment and Medicare compliance. The role involves identifying documentation gaps, communicating with providers, and ensuring accurate ICD-10-CM coding across multiple facilities. At least 2 years in a hospital or clinic setting and CRC/ CPC certification are required. #J-18808-Ljbffr

Millennium Healthcare Management Serv LLC is seeking a Risk Adjustment Coding Specialist to review and validate provider documentation for accurate ICD-10-CM coding reflecting illness severity and care complexity. The role involves prospective, concurrent, and retrospective chart reviews, collaboration with providers, adherence to Medicare guidelines, and participation in coding education to sustain a high accuracy rate and productive coding output. #J-18808-Ljbffr

Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate will have at least five years of experience in coding and billing, with a strong knowledge of ICD-10-CM and CPT. Benefits include health insurance, paid time off, and tuition reimbursement. #J-18808-Ljbffr