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Risk Adjustment Coder
Contract: Newark, NJ, New Jersey, US
Salary Range: 40.00 - 42.00 | Per Hour
Job Code: 363128
End Date: 2025-07-23
Days Left: 25 days, 19 hours left
We are Hiring!
Job Title: Risk Adjustment Coder
Location: Remote (Newark, NJ)
Duration: 6+ Months (Potential of Extension)
Pay Range: $40/hr to $42/hr without benfits and PTO.
About the Role:
The Senior Professional Coder is responsible for providing services to perform code abstraction using the Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state and federal regulations. They will be involved in activities related to Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA, and Medicare RADV. The Senior Professional Coder must maintain a minimum accuracy rate of 95% on coding quality audits.
Responsibilities:
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Analyze data results from chart review findings and implement action plans to improve providers’ performance levels
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Educate new staff on producing and maintaining high-quality data abstraction and chart reviews
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Develop quality assurance processes to ensure data integrity of all submitted diagnoses
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Evaluate and improve risk adjustment coding programs, policies, and procedures
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Collaborate with inter-departmental team management to support coding initiatives
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Act as a Subject Matter Expert to identify opportunities for business growth
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Keep management informed on current changes in regulations related to ICD-10 coding and quality documentation
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Interface with operations and clinical leadership to identify coding and documentation improvements
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Conduct mock audits targeting problematic diagnoses
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Review medical records for completeness, accuracy, and compliance with coding guidelines
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Maintain department productivity and accuracy standards
Education Qualification:
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Bachelor's degree required
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Current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from AAPC or Certified Coding Specialist from AHIMA
Required Skills:
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5+ years of Medical Coding experience
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5+ years of experience in Health Insurance/quality chart audits and/or Utilization Review
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Proficiency in CPT-4, HCPC, ICD-9/ICD-10 coding
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Knowledge of medical terminology, procedures, abbreviations, and terms
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Familiarity with the healthcare delivery system
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Ability to utilize a personal computer and relevant software
Job Requirement
- ICD-10 coding
- AHA Coding
- ICD-9
- risk adjustment coding
Reach Out to a Recruiter
- Recruiter
- Phone
- Sneha Samanta
- sneha.samanta@collabera.com
Apply Now
Apply Now
