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HCC Risk Adjustment Medical Coder - Remote
Remote / Online - Candidates ideally in
Northern, Floyd County, Kentucky, USA
Listed on 2026-10-09
Northern, Floyd County, Kentucky, USA
Listing for:
AIxBlock, Inc.
Remote/Work from Home
position Listed on 2026-10-09
Job specializations:
-
Healthcare
Medical Billing and Coding
Job Description & How to Apply Below
We are looking for US-based experienced, certified HCC risk adjustment coders to join our contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 model standards — all within our purpose-built coder workbench platform.
This is a remote, per-chart or hourly contract engagement. Volume will scale as our client pipeline grows; we are building the bench now so we can move quickly when engagements launch.
What You’ll Do- Review outpatient and ambulatory encounter documentation for Medicare Advantage members
- Validate AI-suggested diagnosis codes and manually add any missed diagnoses
- Document MEAT (Monitor / Evaluate / Assess / Treat) evidence per code, referencing specific source text in the chart
- Flag ambiguous documentation, legibility issues, or charts requiring escalation
- Participate in over-read / inter-rater reliability QA process
- Work within CMS V28 HCC model mapping standards
- Active AAPC CRC (Certified Risk Adjustment Coder) credential — required, no exceptions
- Minimum 2 years of HCC risk adjustment coding experience
- Familiarity with CMS V28 model (knowledge of V24 → V28 transition strongly preferred)
- US-based; must be authorized to work in the US
- Own equipment: reliable computer and high-speed internet connection
- Comfortable working in a digital platform environment (training provided on our specific tooling)
- High attention to detail and commitment to coding accuracy and audit defensibility
- Competitive per-chart or hourly rate (~30-35
USD/hr), commensurate with experience - Rates discussed individually during onboarding
- Fully remote, flexible schedule
- Identity verification required as part of onboarding (credential check, KYC process — required for PHI access compliance)
- All contractors handling PHI will be required to sign a Business Associate Agreement (BAA) as part of onboarding.
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