Risk Adjustment Medical Coder (CRC)

Job Description:

• We are seeking an experienced Medical Coder to join our remote team.
• The ideal candidate will have at least 2 years of hands-on medical coding experience, a strong understanding of coding guidelines, and the ability to accurately review and assign appropriate medical codes while maintaining compliance with healthcare regulations.

Key Responsibilities

• Review medical records and assign accurate ICD, CPT, and HCPCS codes.
• Ensure coding accuracy and compliance with industry standards and payer requirements.
• Analyze clinical documentation to support correct code assignment.
• Identify and resolve coding discrepancies.
• Maintain productivity and quality standards.
• Collaborate with healthcare providers and billing teams as needed.
• Stay current with coding updates, regulations, and payer guidelines.

Qualifications

• CRC coding certification with a focus on risk adjustment
• RADV (Risk Adjustment Data Validation) and IVA (Initial Validation Audit)
• Minimum 2 years of medical coding experience.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems.
• Excellent attention to detail and analytical skills.
• Ability to work independently in a remote environment.
• Strong written and verbal communication skills.
• Relevant coding certification (CPC, CCS, or equivalent) is preferred.