2 vmg risk adjustment coder jobs found

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Job Description Job Schedule This role offers a hybrid schedule. You will need to visit two centers twice a week: one day at the Ocoee center and one day at the East Colonial center. These onsite visits are mandatory and non-negotiable. The remaining days of the week will be remote work. Job Summary The Medicare Coder Specialist facilitates modifications to clinical documentation through pre‑visit and post‑visit interaction with providers and other members of the healthcare team. She or he promotes capture of clinical severity (later translated into coded data) to support the level of service rendered to relevant patient populations, enhance evidence‑based medicine, promote continuity of care, and improve capturing chronic conditions. Responsible for coding all medical services procedures CPT and HCPCS codes, pharmaceuticals supplies, patients’ ICD‑10 diagnoses, signs, and symptoms when applicable, ensuring that all assigned ICD‑10‑CM codes are supported by proper clinical...