Certified Risk Adjustment Coder

Genesis10 is currently seeking a Certified Risk Adjustment Coder for a 3-month contract role with our client in the healthcare industry in Eden Prairie, MN. This role is 100% remote.

Description :

The Expert Risk Adjustment Temporary Coder is responsible for performing high-quality, accurate audits of inpatient and outpatient medical records aligned with HCC risk adjustment models (e.g., CMS-HCC, HHS-HCC). This includes retrospective reviews of ICD-10-CM diagnosis coding to validate HCC submissions for risk adjustment purposes.

The role ensures compliance with CMS guidelines, HCC model logic, ACA requirements, and internal quality standards. The coder supports coding accuracy, data integrity, and documentation practices to optimize Medicare Advantage revenue while minimizing compliance risk. The ideal candidate is a subject matter expert in risk adjustment coding, capable of working independently under tight deadlines with minimal supervision.

Key Responsibilities :

• Abstract and assign ICD-10-CM diagnosis codes and CPT from medical records to capture risk-adjustable conditions.
• Review EMRs and supplemental data to identify undocumented or misrepresented HCCs.
• Apply CMS, HHS-HCC guidelines, AHA Coding Clinic guidance, and internal policies.
• Validate previously coded charts and provide feedback on errors or opportunities for correction.
• Collaborate with risk adjustment coding managers and project managers to resolve documentation discrepancies.
• Maintain productivity and accuracy standards as defined by the organization.
• Protect patient privacy and confidentiality in accordance with HIPAA.
• Participate in weekly meetings with the client and provide detailed review feedback.
• Support data collection for RADV audits, suspect condition reviews, or provider education initiatives.

Required Skills :

Compensation :

Hourly W2 pay : $60.00 to $65.00 / hour

We offer additional contract, contract-to-hire, and direct hire positions with various rates.

If qualified and interested, apply today!

Genesis10, ranked a Top Staffing Firm in the U.S., provides access to many Fortune 100 firms and mid-market organizations across various industry verticals.

Benefits of Working with Genesis10 :

Genesis10 is an Equal Opportunity Employer. Candidates will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

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