Risk Adjustment Coding Specialist I

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $22 - $33 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Millennium Physician Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2008

🏥 Healthcare

👥 B2C

🧘 Wellness

Healthcare • B2C • Wellness

Millennium Physician Group is one of the largest physician-led healthcare provider organizations in Florida, operating more than 200 locations and over 900 clinicians. The group provides primary care, numerous medical specialties, walk-in and urgent care clinics, virtual care/telehealth services, and patient-facing tools like a patient portal and mobile app for scheduling, billing, and medical records access. Millennium focuses on coordinated, patient-centered clinical care across a broad range of specialties.

📋 Description

• Review medical records to identify clinical documentation supporting diagnosis reporting and risk adjustment activities • Validate diagnosis codes selected by providers to ensure documentation supports accurate and compliant coding • Support prospective and concurrent coding review activities designed to improve diagnosis capture and documentation quality • Collaborate with providers and internal stakeholders to obtain clarification regarding documentation requirements • Maintain knowledge of ICD-10-CM coding guidelines, Medicare risk adjustment principles, and documentation requirements • Participate in coding education, training programs, and quality improvement initiatives • Meet established productivity and quality standards while maintaining coding accuracy • Protect the confidentiality and integrity of patient information in accordance with organizational policies and regulatory requirements • Maintain accurate records of completed work and support timely capture of documented patient conditions • Work under close supervision, follow established processes and procedures, and escalate issues outside standard protocols

🎯 Requirements

• High school diploma or GED required • Active coding credential through AAPC or AHIMA required; CRC preferred • Minimum one year of healthcare, outpatient, coding, or related medical experience preferred • Working knowledge of ICD-10-CM coding conventions and medical terminology • Foundational understanding of anatomy, physiology, disease processes, and pharmacology • Familiarity with Medicare risk adjustment and HCC coding concepts preferred • Proficiency using electronic health record systems • Strong attention to detail and analytical skills • Ability to work within established procedures and prioritize assigned work • Commitment to maintaining professional certification and ethical coding standards