Risk Adjustment Coder

Overview

Position: Risk Adjustment Coder
Location: Remote (Must reside in NY/NJ/CT)
Schedule: Monday - Friday 9am-5pm
Compensation: $77,506.87 - $87,195.23 annual salary

• Perform critical code abstraction of medical records and ensure accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes supported by clinical documentation.
• Conduct comprehensive review of medical records to validate documentation meets CMS requirements, including provider signatures and relevant dates.
• Identify improvement opportunities in documentation and coding processes; participate in quality initiatives to enhance outcomes.
• Maintain current knowledge of coding standards and regulations; support Medicare Risk Adjustment team in educating providers on compliance and consistency.
• Report findings from audits, assist in analysis, and maintain a minimum coding quality audit accuracy of 95% while meeting productivity requirements.

• At least three years of experience in HCC/Risk Adjustment and/or inpatient coding.
• Certifications such as CPC, CRC, RHIT, or RHIA from AAPC or AHIMA.
• Strong knowledge of clinical terminology, disease processes, anatomy/physiology, and pharmacology.
• Strong knowledge of claims processing procedures and systems.
• State, Federal, and Medicare Regulations and Coordination of Benefits applications required.
• Must reside in NY, NJ, or CT.
• Excellent attention to detail, basic computer skills, and ability to maintain a productive home office with high-speed internet.
• Minimum five years of HCC/Risk Adjustment and/or inpatient coding experience.
• Certification through AAPC or AHIMA (CPC, CRC, RHIT, or RHIA).

Village Care is an Equal Opportunity Employer.

Salary: $77,506.87 - $87,195.23 per year

Job Posted by Applicant Pro