Risk Adjustment Coder

ClinDCast LLC

6d • $60 - $65 • Remote

About The Position

We are seeking an experienced and certified Risk Adjustment Coder to perform medical record reviews, coding validation, and audit activities in accordance with applicable CMS guidelines. The role requires strong knowledge of ICD-10-CM coding, risk adjustment methodologies, medical record documentation, and regulatory compliance requirements. This is a remote position.

Requirements

• Experienced and certified Risk Adjustment Coder.
• Strong knowledge of ICD-10-CM coding, risk adjustment methodologies, medical record documentation, and regulatory compliance requirements.

Responsibilities

• Review medical records to identify and validate reportable diagnoses.
• Perform first-pass and second-pass coding reviews and audits, as applicable.
• Ensure accurate diagnosis code assignment in accordance with ICD-10-CM guidelines and CMS requirements.
• Verify that coded diagnoses are supported by appropriate medical record documentation.
• Identify coding discrepancies, documentation gaps, and potential compliance issues.
• Maintain accurate audit documentation and record findings, errors, and recommendations.
• Follow established coding guidelines, quality standards, and compliance protocols.
• Meet productivity, accuracy, and quality performance targets.
• Collaborate with internal teams to resolve coding discrepancies and support audit requirements.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed