Risk Adjustment, HCC Coder, Auditor

🔥 2 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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e4health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

⚖️ Legal

📦 Logistics

Consulting • Legal • Logistics

e4health is a healthcare-focused services and technology firm that helps hospitals and health systems improve clinical data quality, coding accuracy, revenue integrity, and IT systems. They provide Health IT consulting, health information management (HIM), clinical documentation improvement (CDI), coding and auditing (including risk adjustment/HCC), legacy data migration and validation, interim staffing, and software and AI automation solutions. e4health serves more than 400 health systems with a mix of professional services, advisory engagements, and technology to optimize workflows, protect IT investments, and drive measurable outcomes.

📋 Description

• Complete quality assurance reviews for clients on internal or external coders, providers, or accounts • Review patient medical records and validate HCC code assignments and potentially complete code capture for completeness and accuracy • Follow official ICD-10-CM and Risk Adjustment guidelines • Report quality results and track and trend educational opportunities • Respond to client subject matter needs • Provide educational support and training to coders and/or providers • Maintain an auditing accuracy rate of 95% or better while meeting productivity standards • Ensure diagnoses are accurate and complete according to ICD-10-CM Guidelines for Coding and Reporting • Confirm codes to the highest documented level of specificity • Work effectively within a team environment • Comply with patient-record confidentiality and system-security policies • Maintain required productivity and quality requirements

🎯 Requirements

• Must possess an approved AHIMA or AAPC coding credential • CRC (Certified Risk Adjustment Coder) preferred • Minimum 4 years’ coding experience with 2 years specific HCC experience required • Specialty experience may be preferred according to specific client needs • 30-hour-per-week commitment preferred • At least 2 years of remote experience recommended • Knowledge of health systems operations, reimbursement methodologies, and coding conventions • Advanced knowledge of HCC/risk adjustment, coding, and documentation requirements • Ability to perform accurate and complete HCC/risk-adjustment chart audits • Ability to identify and communicate trends in provider coding and documentation • Strong written, verbal, presentation, communication, collaboration, analytical, problem-solving, organizational, time-management, and attention-to-detail skills • Ability to self-motivate and self-direct • Commitment to a team environment and adherence to company Core Values • Must maintain coding credential requirements • Applicants for U.S.-based positions must be legally authorized to work in the United States • Visa sponsorship is not available

🏖️ Benefits

• Excellent salary • Full benefits package • 401(k) with company match • Medical insurance • Dental insurance • Vision insurance • Life insurance • Short-term disability insurance • Long-term disability insurance • PTO policy • Remote work from a home office environment • Remote role with travel to field sites when required