Entry Level Risk Adjustment Medical Coder, RN, CPC | Midshift | WFH

Entry Level Risk Adjustment Medical Coder, RN, CPC | Midshift | WFH

Job Summary

We are seeking newly certified Risk Adjustment Medical Coders to join our team. The ideal candidate will be responsible for reviewing medical records to identify, code, and validate diagnoses based on risk adjustment models such as HCC (Hierarchical Condition Categories). The coder must ensure accuracy, compliance, and completeness in coding to support optimal reimbursement and risk score accuracy.

Essential Duties and Responsibilities

• Analyze medical records to assign accurate ICD-10-CM codes according to risk adjustment guidelines (HCC, RxHCC, CDPS, etc.).
• Ensure all documented diagnoses are supported by proper clinical documentation.
• Identify and capture chronic conditions that impact risk scores.
• Adhere to official coding guidelines, CMS (Centers for Medicare & Medicaid Services) regulations, and internal p...