About this role
Pay Rate: $36/hr on W2
Must-Have:
Must have a Laptop/computer with internet to work from home.
Comfortable providing a Photo ID Copy
Terms of Employment:
9-Month Contract (with possibility of extension).
100% Remote
Overview:
Work with a leading healthcare organization as a Risk Adjustment Coding Specialist. Reporting to the Risk Adjustment Supervisor, you will play a vital role in ensuring the accuracy of medical coding for Medicare Advantage, ACA, and Medicaid lines of business. This is a production-driven role focused on high-quality auditing and validation in a collaborative, remote environment.
Key Responsibilities:
Perform risk adjustment coding and auditing across Medicare Advantage, ACA, and Medicaid (CPG methodology).
Conduct RADV (Risk Adjustment Data Validation) auditing on a daily basis.
Validate codes using "MEET" (Monitor, Evaluate, Assess, Treat) criteria to ensure regulatory compliance.
Use Microsoft Excel to manage spreadsheet records and enter validated data findings.
Maintain high production and accuracy standards in a fast-paced environment.
Required Qualifications:
Active CRC (Certified Risk Adjustment Coder) certification is mandatory.
Active CPC (Certified Professional Coder) certification.
Minimum of 3 years of experience in Risk Adjustment coding.
Experience with RADV auditing.
Proficiency in Microsoft Excel for data entry and record-keeping.
Ability to work 8:00 AM 5:00 PM ET for the first two weeks of training.
Preferred Qualifications:
Previous experience with Medicaid CPG methodology.
Experience in high-volume, production-based coding environments.
CCS-Certified Coding Specialist or CPS, CCS-P, CRC
RHIT - Registered Health Information Technician or RHIA