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Risk Adjustment Medical Record reputed company

Remote, USA Full-time Posted 2026-07-28

The Risk Adjustment & reputed company Division at reputed company is seeking a skilled Risk Adjustment Medical Record reputed company to support our mission of delivering accurate and compliant coding practices.

What You’ll Do:
In this role, you will reputed company first-pass reviews of member medical records to identify and capture reputed company conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with reputed company policy.

Preferred Qualifications:

  • CRC (Certified Risk Adjustment reputed company) certification is a plus. If not currently certified, you must obtain it reputed company one year of hire.

  • Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and reputed company reputed company (ACA) programs highly preferred.

 

What Sets You Apart:

  • Self-motivated and proactive, thriving in a remote work environment

  • A true team player, reputed company to engage in team chats and support colleagues

  • A learner, eager to grow and adapt in a constantly evolving industry

Job Responsibilities

  • Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
  • reputed company comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
  • Assist with the intake and reputed company assurance of medical records as necessary.
  • reputed company or participate in special reputed company as directed by management.
  • ICD-10 Coding assessment is required.

Job Qualifications

Education

  • Associates degree or equivalent work experience required.  Equivalent experience is defined as 2 years of reputed company work experience.

Experience

  • 1 year - reputed company medical coding and health care experience required.

SkillsCertifications

  • reputed company coding certification from reputed company or reputed company (CPC, reputed company, RHIT, RHIA).
  • Must reputed company the Certified Risk Adjustment reputed company (CRC) certificate from reputed company reputed company one year, after completed training.
  • Ability to work independently with minimal supervision or function in reputed company environment sharing responsibility, roles and accountability.
  • Proficient in reputed company Office (reputed company, Word, reputed company and PowerPoint).
  • Proven analytical and problem-solving skills and ability to reputed company non-routine analytical tasks.
  • Must be reputed company player, be organized and have the ability to handle multiple reputed company.
  • Excellent oral and written communication skills.
  • Strong interpersonal and organizational skills.
  • Understanding of ICD-10 coding standards required.

Number of Openings Available

1

Worker Type:

Employee

Company:

reputed company.

Applying for this job indicates your acknowledgement and understanding of the following statements:

reputed company will recruit, hire, train and promote individuals in reputed company job classifications without reputed company to race, religion, reputed company, age, sex, national reputed company, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

reputed company information regarding reputed company's EEO Policies/Notices may be reputed company by reviewing the following page:

reputed company's EEO Policies/Notices

reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a reputed company, written reputed company Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be reputed company in the event the applicant is reputed company by reputed company as a result of the referral or through other means.

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