Medical Coder (Risk Adjustment)

Job Summary

· 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

· Minimum 2 years of medical coding experience.

CRC coding certification with a focus on risk adjustment
RADV/IVA audit

· 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.

· Ability to maintain data privacy and HIPAA compliance while working remotely.