HCC Risk Adjustment Coder (Remote)

  • Location: Houston
  • Type: Direct Hire
  • Job #6640

HCC Risk Adjustment Coder (Remote)

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Scope of Work:

Remote Independent Contractor HCC Risk Adjustment Coders provide services to perform code abstraction using the Coding Guidelines for ICD-9-CM/ICD-10-CM. Projects include Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), and Medicare RADV (Risk Adjustment Data Validation).

Project Responsibilities:

  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-9-CM/ICD-10-CM codes are accurately assigned and supported by clinical documentation

  • Maintain current knowledge of ICD-9-CM/ICD-10-CM codes, CMS documentation requirements, and state and federal regulations

  • Maintain a minimum 95% accuracy on coding quality audits

  • Meet minimum productivity requirements as outlined by the project terms

  • Handle other related duties as required or assigned


Certified Coder through AHIMA or AAPC
2-3+ years of HCC coding experience

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