Risk Adjustment Coder

About the role

We are seeking an experienced Risk Adjustment Coder with strong knowledge of HCC coding, CMS guidelines, RAF score calculation, and accurate clinical documentation review. The ideal candidate will be CRC/CPC certified and able to deliver high-quality coding with zero-compromise compliance standards.

What you'll do

• Review and analyze medical records, charts, and documentation to assign accurate ICD-10-CM diagnosis codes for Risk Adjustment (HCC) models
• Ensure coding accuracy that aligns with CMS, DX-HCC, and internal compliance guidelines
• Validate clinical documentation to support submitted diagnoses and identify documentation gaps
• Work closely with QA/clinical teams to resolve coding queries and discrepancies
• Maintain productivity and accuracy standards as per organizational expectations

What you need

• 2–5 yrs of experience
• Medical coding
• Any graduate