Coding jobs
Risk Adjustment Coder Jobs
Remote and on-site risk adjustment coding roles — capturing and validating HCCs from the chart for Medicare Advantage plans and the vendors that serve them.
CDI Enablement Manager
Manages provider education and documentation quality for risk adjustment; clinical credentialing required with significant field autonomy.
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)
Conducts medical record audits for physicians; analyzes coding patterns and provides customized education for Medicare Advantage risk adjustment.
Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment (Hybrid)
Conducts audits for physicians and IPAs; analyzes coding patterns and delivers customized risk adjustment education.
Coder 1/HCC Risk Adjustment
Conducts diagnosis code abstraction for Medicare, Commercial, and Medicaid risk-adjustment programs using ICD-10-CM guidelines.
Risk Adjustment Compliance Coder
Conducts risk adjustment coding audits, compliance research, and responds to coding inquiries for Medicare/Medicaid.
Medical Coding Educator
Arranges provider education sessions to improve documentation and care quality; creates plans based on coding data and RAF trends.
Auditor, Risk Adjustment
Conducts internal and external quality audits of ICD-10 code abstraction; establishes benchmarks and quality assurance programs for ACA/MA lines.
Risk Adjustment Reporting Specialist - SCMG Finance - Day Shift - Full Time
Abstracts HCC codes for prospective risk adjustment review; communicates with providers via Epic on capture opportunities.
Risk Adjustment Coder Professional Billing II, FT, Days,
Abstracts HCC codes for prospective and retrospective risk adjustment review; communicates with providers via Epic and in-person.
Auditor, Risk Adjustment Data Validation
Audits medical records for ICD-10-CM coding accuracy under RADV guidelines; supports HCC ratio goals and risk adjustment.
HCC Coding Educator
Designs and delivers HCC and risk adjustment coding training; performs quality reviews and mentors staff on coding compliance.
Risk Adjustment Medical Coder (CRC)
Reviews medical records and assigns ICD, CPT, HCPCS codes for risk adjustment; maintains accuracy and compliance.
Director, Clinical Documentation Improvement
Leads CDI strategy and operations across employees; supervises CDI team; drives documentation improvement initiatives.
Risk Adjustment Coding Specialist II
Conducts high-volume chart reviews to identify coding gaps and trends; delivers education to providers and practice leaders.
Clinical Documentation Integrity Specialist (Coder)
Reviews charts and validates documentation; partners with providers on coding excellence for senior primary care risk adjustment.
E/M Coder with HCC experience-REMOTE -CA
Assigns CPT/ICD-10-CM/HCPCS codes for outpatient E/M; applies HCC principles; queries providers for documentation gaps.
Risk Adjustment Coder
Conducts prospective/retrospective/concurrent chart reviews using HCC risk adjustment coding; improves documentation accuracy.
Quality Improvement/CDI Analyst
Identifies documentation opportunities for risk adjustment; formulates provider queries; facilitates provider communication on CDI.
Risk Adjustment Coding Auditor
Supports first and second-pass CMS RADV audits; conducts risk adjustment coding and auditing with 8+ years experience required.