Risk Adjustment Coder

Story Behind the Need

• Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10) for CMS risk adjustment purposes.
• Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity.
• Code in multiple lines of business such as Marketplace (ACA) and Medicare Advantage
• Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
• Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines.
• Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model.
• Ability to meet productivity and accuracy standards
• Ability to defend coding decisions to both internal and external audits.
• Performs other duties as assigned. Work environment is positive and engaging.

Typical Day in the Role

• Coders will work daily reviewing medical records abstracting HCCs for members.
• Coders will also work on additional special projects as needed dependent on business needs.
• 100% Remote
• Accuracy: 95%
• Production: 7-9 HCC's an hour

Candidate Requirements

• Education/Certification Required: CPC or CCS Preferred: CRC
• Licensure Required:
• Years of experience required: 2 years of medical coding experience, risk adjustment knowledge is preferred.
• Disqualifiers: Not certified.
• Additional qualities to look for: Tech savvy - Knowledge of computer basics. Comfortable utilizing Microsoft 365 (Word, Excel, Teams, Outlook)
• Ability to navigate through the ICD-10-CM codebook. Candidates who are enthusiastic and pay close attention to detail, ability to work under pressure as we pivot between multiple projects dependent on business needs.

• Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10). Always coding to the highest level of specificity.
• Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines.
• Ability to meet productivity and accuracy standards

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.


It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.