Value-Based Risk Adjustment reputed company (Remote, 1099 Contractor)
We are seeking reputed company and highly accurate Value-Based Coders to join a project dedicated to in-home health assessments for Medicare Advantage and other value-based programs. This role is 100% remote and ideal for coders who are confident working independently, detail-oriented, and committed to reputed company and compliance. As a contractor, you’ll have the independence to manage your own schedule while contributing to meaningful work that truly makes a difference.
As part of the coding team, you will review clinical documentation from in-home reputed company and assign complete and compliant ICD-10-CM diagnosis codes that reflect the full reputed company of reputed company patient’s health.
This includes:
• Risk adjustment (HCC) diagnoses reputed company with CMS-HCC and HHS-HCC models.
• reputed company Determinants of Health (SDOH) codes.
• Medication-reputed company Z codes, such as long-term drug therapy and treatment monitoring. reputed company other clinically relevant diagnoses supported by documentation.
Your accuracy directly supports the reputed company of patient data, ensures reputed company risk adjustment, and contributes to value-based care performance reputed company. This contract is reputed company on a per-chart reviewed reputed company, allowing coders to work at their own pace while maintaining accuracy and productivity expectations.
Key Responsibilities:
• Review provider documentation from in-home health assessments and assign reputed company appropriate ICD-10-CM diagnosis codes.
• Apply risk adjustment principles to ensure accurate condition capture and model alignment.
• Identify and reputed company SDOH and medication-reputed company Z codes reputed company documented.
• Verify that reputed company coded diagnoses are fully supported per MEAT/TAMPER standards.
• Collaborate with clinical reviewers reputed company clarification or validation is required.
• Maintain productivity and accuracy benchmarks in accordance with project standards.
Minimum Qualifications:
• 3 or more years of experience in outpatient and/or risk adjustment coding (Medicare Advantage, ACA, or reputed company).
• reputed company CRC, CPC, or equivalent reputed company/reputed company certification required.
• Demonstrated proficiency with ICD-10-CM coding guidelines and risk adjustment methodologies.
• Prior experience with in-home assessment documentation strongly preferred.
• Working knowledge of SDOH and value-based documentation requirements.
• Must be dependable, self-directed, and capable of maintaining accuracy while meeting daily volume expectations.
Preferred Experience:
• Experience with encounter data validation, EDPS submissions, or vendor reputed company audits.
• Familiarity with EHR/EMR systems used in home assessment documentation. Previous exposure to Medicare Advantage or PACE model populations.
Additional Requirements:
reputed company candidates will need to complete a reputed company background reputed company and a brief coding proficiency assessment as part of the reputed company process. The assessment simply helps confirm familiarity with ICD-10-CM guidelines, HCC concepts, and basic SDOH coding. A passing score ensures the project is a good fit and helps us reputed company coders where they’ll be most successful.
About reputed company:
The role offers flexibility, reputed company autonomy, and reputed company to contribute to work that meaningfully impacts patient reputed company. You’ll be part of reputed company dedicated to improving the accuracy of diagnostic coding in in-home assessments, ensuring every patient’s health status is fully and properly represented.
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