Remote Risk Adjustment Coder

About the Opportunity

We are seeking a highly skilled Remote Risk Adjustment Coder to join our dynamic and forward-thinking healthcare team. If you are passionate about healthcare data integrity, enjoy working from the comfort of your home, and want to make a real impact, this opportunity is for you. This work-from-home Risk Adjustment Coder role offers a competitive annual salary of $86,000 and provides the chance to grow professionally while enhancing patient care quality and organizational success. As part of our innovative team, you will thrive in a professional environment where your skills as a **Remote Risk Adjustment Coder **directly improve patient outcomes and organizational compliance. Our organization values precision, dedication, and continuous improvement, and we are excited to expand our team with individuals who share these ideals.

Role Overview

As a Remote Risk Adjustment Coder, you will accurately review, analyze, and assign diagnosis codes based on medical records. Your expertise will ensure that all coding aligns with regulatory standards and risk adjustment models. You will provide the utmost levels of accuracy and compliance while working remotely. Embrace the flexibility of work-from-home Risk Adjustment Coder jobs while maintaining precision and efficiency. Your daily tasks will involve reviewing detailed records, applying coding principles, and supporting audits to enhance overall organizational performance.

✨ Key Details:

• ✨ Position: Remote Risk Adjustment Coder
• ✨ Employment Type: Full-time, Remote
• ✨ Annual Salary: $86,000
• ✨ Work Environment: 100% Remote, Flexible Hours

Key Responsibilities

✅ Risk Adjustment Coding:

• Analyze medical records and accurately assign ICD-10-CM diagnosis codes based on documentation for Remote Risk Adjustment Coder jobs.
• Ensure coding compliance with HCC, CDPS, and other risk adjustment models.
• Validate and update patient information to support accurate risk scoring.
• Conduct targeted coding projects to address identified gaps and improve organizational risk scores.

✅ Data Integrity and Compliance:

• Conduct regular quality assurance reviews to ensure coding accuracy.
• Collaborate with audit teams to ensure regulatory standards are consistently met.
• Adhere to federal, state, and payer-specific regulations essential in work-from-home Risk Adjustment Coder roles.
• Maintain the confidentiality and security of all health information by the Health Insurance Portability and Accountability Act (HIPAA) regulations.

✅ Reporting and Documentation:

• Maintain detailed and accurate coding documentation to ensure compliance with audit standards.
• Produce coding reports and summaries to support risk adjustment processes.
• Assist in the preparation of audit findings, action plans, and recommendations for process improvement.

✅ Team Collaboration:

• Work closely with clinical, compliance, and operational teams.
• Participate in team meetings and ongoing training sessions to stay current on industry changes in the Remote Risk Adjustment Coder field.
• Provide feedback and recommendations to streamline and enhance coding workflows.

Qualifications and Requirements

✨ Educational Background:

• An associate’s or Bachelor’s degree in Health Information Management, Nursing, or a related healthcare field is preferred.

✨ Certifications:

• Active certification from AHIMA or AAPC, such as CPC, CRC, CCS-P, is required for Remote Risk Adjustment Coder jobs.
• Additional certifications in auditing (such as CDEO, CCA) are a plus.

✨ Experience:

• Minimum of 2 years’ experience in risk adjustment coding within a healthcare organization.
• Proven experience with HCC coding and ICD-10-CM guidelines is essential for work-from-home Risk Adjustment Coder jobs.
• Experience working with multiple risk models, including CMS-HCC, ACA-HCC, and CDPS preferred.

✨ Technical Skills:

• Proficiency with EHR systems, coding platforms, and healthcare databases.
• Strong knowledge of MS Office Suite (Excel, Word, Outlook) and other reporting tools.
• Ability to adapt to new coding software and evolving technology platforms.

✨ Key Competencies:

• Exceptional attention to detail and accuracy.
• Ability to prioritize tasks, manage time effectively, and meet deadlines.
• Strong analytical and critical thinking skills.
• Practical written and verbal communication abilities to engage in a remote environment.
• Commitment to ongoing learning and professional development.

Why Join Us?

☀️ Flexible Remote Work Environment:

• Design your productive workspace with a work-from-home Risk Adjustment Coder job.
• Enjoy a healthy work-life balance with flexibility to manage personal and professional commitments.

☀️ Professional Development:

• Access continuous education programs, certification support, and professional workshops.
• Join a network of experienced coders, clinical staff, and audit specialists who are committed to excellence in Remote Risk Adjustment Coder jobs.

☀️ Competitive Compensation:

• Receive a competitive salary of $86,000 annually.
• Potential to earn performance-based incentives and bonuses based on coding accuracy and quality metrics.

☀️ Purpose-Driven Impact:

• Contribute to improving patient outcomes through data-driven coding practices.
• Play a significant role in ensuring our healthcare organization meets compliance and risk adjustment goals through your work in Remote Risk Adjustment Coder roles.

Tools and Resources Provided

✨ Advanced Coding Tools:

• Access to state-of-the-art electronic health record systems.
• Updated coding reference materials and software platforms.

✨ Training and Certification Support:

• Participate in specialized risk adjustment coding workshops.
• Receive support for CEUs to maintain and renew certifications necessary for work-from-home Risk Adjustment Coder careers.

✨ Collaborative Support:

• Work with experienced mentors and leadership teams.
• Participate in cross-functional initiatives and coding best practice groups.

Ideal Candidate Profile

✨ You will thrive in this Remote Risk Adjustment Coder position if you:

• They are meticulous, detail-driven, and proactive.
• Enjoy working autonomously while staying connected in a remote team environment.
• Have a deep understanding of ICD-10-CM, HCC coding models, and risk adjustment processes.
• Seek opportunities for continuous professional improvement and certification enhancement.
• Communicate effectively and work collaboratively across multiple departments.

Career Growth Opportunities

✨ Advance Your Career:

• Pursue advancement opportunities such as Senior Risk Adjustment Auditor, Coding Educator, or Team Lead roles through Remote Risk Adjustment Coder jobs.
• Participate in leadership training programs specifically designed for remote healthcare professionals.

✨ Broaden Your Expertise:

• Expand your skill set into additional coding domains, such as inpatient hospital coding, specialty risk coding, and clinical documentation improvement.
• Engage in special project teams addressing healthcare innovation, compliance audits, and technology transformation.

Application Process

Ready to make a difference? Apply now!

We look forward to welcoming a dedicated and skilled Remote Risk Adjustment Coder who is ready to contribute to the next generation of healthcare excellence. Join us in shaping a future where healthcare data integrity, patient outcomes, and professional growth are aligned.