The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes submitted to CMS and other government agencies. This role ensures coding is accurate and supported by clinical documentation in the health record.
The position involves reviewing medical records for conditions that map to HCCs, applying ICD-10 diagnosis codes, following state and federal regulations, and participating in special projects. The role works with limited oversight and may include phone outreach to providers.
Requirements & Qualifications
Required qualifications
- One of the following certifications is required: CPC or CPC-A, COC, CIC, CRC, CCA, CCS, or CCS-P
- Experience in a goal-oriented, production- and quality-driven environment
- Must maintain annual continuing education requirements and remain in good standing with AAPC or AHIMA
- Ability to attend a 3-week virtual classroom training, Monday-Friday, 8:00 AM to 4:30 PM Eastern Time
- Ability to work 40 hours per week, Monday-Friday, with mandatory overtime as needed
- Must have a confidential workspace free from distractions
- Proficiency with relevant technology, including multiple software applications and digital tools
Preferred qualifications
- Proficiency with Microsoft Word and Excel
- Risk adjustment experience
- HCC coding experience
Benefits & Perks
Benefits
- Medical, dental, and vision coverage
- 401(k) retirement savings plan
- Paid time off, company holidays, parental leave, and caregiver leave
- Short-term and long-term disability insurance
- Life insurance
- Other wellness and employee benefits
Location
Georgia, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$48,300 - $65,900
Remote work allowed
Yes
Posted
1 week ago