Job Information
Peak Performers Senior Risk Adjustment Coder in Sunrise, Florida
Peak Performers has partnered with a healthcare organization to assist in their search for a remote Sr. Risk Adjustment Coder. In this position, you will be responsible for reviewing and analyzing medical records, validating diagnosis codes, and supporting risk adjustment audit activities to ensure accurate reporting to government programs.
Major duties
Review and code inpatient and outpatient medical records using ICD-10 guidelines for risk adjustment purposes.
Analyze and validate diagnosis coding to ensure accuracy and compliance with CMS risk adjustment and HCC guidelines.
Support Risk Adjustment Data Validation (RADV) audits by reviewing historical audits and assisting with third-pass coding reviews.
Assist with quality assurance of documentation packages prior to submission to government agencies.
Identify trends in coding data and contribute to reporting efforts such as HCC trend tracking and audit analysis.
What are we looking for?
Associate’s or Bachelor’s degree in a related field.
At least 5 years of experience in risk adjustment coding in a healthcare provider, hospital, or payer environment.
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) certifications required.
Experience with RADV audit reviews preferred.
Strong communication and collaboration skills with the ability to work in a team-oriented environment.
Proficiency in Microsoft Excel and the ability to maintain high productivity and accuracy standards.
Exciting Opportunity Details
Rate: $31.34/hour
W2 Contract
Worksite Location: Remote
12-month contract with potential for extension or conversion based on business needs
The Peak Performers difference
Excellent medical health, dental & vision insurance at 60 days
Our employees may choose to participate in a 403(b) retirement plan
Qualified applicants with chronic medical conditions and/or disabilities receive priority placement
We pay weekly through direct deposit
In business since 1994 and thousands of job placements
All employment offers are contingent on the successful completion of a pre-employment criminal background check, in compliance with all applicable federal and state laws.
Applicants for employment with Peak Performers must possess work authorization that does not require sponsorship for a visa now or in the future.
Peak Performers is an equal opportunity employer and will consider all applicants without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law. Peak Performers does not accept unsolicited resumes from headhunters, recruitment agencies or fee-based recruitment services.
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