Risk Adjustment Coders

Risk Adjustment Coder

Location: Greensboro, NC
Pay Rate: $30-34/hr
Schedule: Monday – Friday | 8:00 AM – 5:00 PM
Work Arrangement: Hybrid

• Initial onsite training: 3–5 days

• Ongoing onsite presence: 2–4 times per month based on educational needs and meetings

Job Description:

We are currently seeking a detail-oriented and experienced Risk Adjustment Coder to join our client’s team. This position is ideal for a coding professional looking to make a meaningful impact on accurate and compliant risk adjustment documentation.

The ideal candidate will have a strong understanding of ICD-10-CM coding, risk adjustment methodologies (HCC), and relevant regulatory guidelines. You will work collaboratively with internal teams to ensure coding accuracy and completeness to support compliant risk adjustment practices.

Responsibilities:

• Review and abstract medical records to identify appropriate ICD-10-CM diagnosis codes for risk adjustment.

• Ensure coding accuracy and documentation compliance with CMS and HHS risk adjustment guidelines.

• Collaborate with providers and coding teams to resolve coding discrepancies and support ongoing education.

• Analyze clinical documentation to verify diagnoses and identify conditions that impact risk scores.

• Maintain coding productivity and quality standards.

• Participate in meetings and training sessions as required.

Requirements:

• Certification: CPC required (AAPC). CRC preferred.

• Experience: Demonstrated experience in risk adjustment coding or equivalent inpatient/outpatient coding.

• Knowledge: Strong understanding of HCC coding, ICD-10-CM, and risk adjustment models (CMS-HCC/HHS-HCC).

• Must be a local candidate able to commute to Greensboro, NC for training and periodic onsite work.

• Excellent attention to detail, organizational, and communication skills.

• Must be able to work independently in a hybrid environment.

If this opportunity is something you would be interested in, we encourage you to apply today!