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Medical Coder - Risk Adjustment Specialist

Volunteers of America, Inc.

Join Senior CommUnity Care as a Medical Coder - Risk Adjustment Specialist and partner directly with physicians and Medical Directors to improve documentation, support CMS reporting, and strengthen value-based care for older adults in the PACE program.

This remote role focuses on risk adjustment integrity, coding accuracy, encounter reporting support, and collaboration with clinical teams to improve documentation and compliance.

Requirements & Qualifications

Required qualifications

  • Associate’s degree in Health Information Management or a related field
  • Current certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and Certified Risk Coder (CRC)
  • Minimum of 5 years of experience working directly with diagnostic and procedural coding
  • Strong preference for substantial experience with Hierarchical Condition Categories (HCCs) and risk adjustment methodologies

Skills and knowledge

  • Strong knowledge of medical terminology, anatomy and physiology, and disease processes
  • Familiarity with healthcare software including EHR systems, coding software, and data analysis tools
  • Understanding of HIPAA, CMS guidelines, AHIMA code of ethics, and related coding and billing regulations
  • Proficiency in Excel and the ability to analyze large datasets
  • Strong analytical, problem-solving, and critical thinking skills
  • Excellent written and verbal communication skills
  • Strong attention to detail, organization, discretion, and professionalism
  • Ability to work independently in a remote setting and collaborate with multidisciplinary teams

Location

Minnesota, US

Employment Type

Full-time

Experience Level

Senior

Salary Range

$58,000 - $66,000

Remote work allowed

Yes

Posted

1 month ago

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