Risk Adjustment Coder (HCC, CRC)
Location: Gastonia, NC
Job Type: Direct Hire
Company: Gaston Family Health Services, Inc. d.b.a. Kintegra Health
Salary: $24
Category: Non-Provider
Job Description Apply Now
The Risk Adjustment Coder (HCC, CRC) plays a pivotal role in supporting value-based care initiatives by ensuring accurate provider documentation and risk adjustment coding within a remote work environment. Reporting directly to the Chief Quality Officer, this position is integral to advancing organizational goals related to population health and quality improvement. The Risk Adjustment Coder (HCC, CRC) leverages expertise in Hierarchical Condition Category (HCC) coding and Chronic Care Risk (CRC) methodologies to audit clinical documentation, conduct pre-visit planning, and educate providers on best practices. This ensures that patient health status is accurately reflected, which is crucial for both compliance and optimal reimbursement under risk adjustment models.
Successful candidates will demonstrate a strong foundation in medical coding, particularly within the domains of risk adjustment and population health. The performance of the Risk Adjustment Coder (HCC, CRC) directly impacts the accuracy of health data, which drives effective care management and supports the organization’s mission to improve patient outcomes. Individuals in this role are expected to work collaboratively with clinical, administrative, and quality teams to identify documentation gaps and implement corrective actions. By providing targeted feedback and education, the Risk Adjustment Coder (HCC, CRC) fosters a culture of continuous improvement and compliance with regulatory standards.
This role is well-suited for professionals who excel in independent remote work, possess a keen attention to detail, and are committed to upholding the highest standards of coding accuracy. The Risk Adjustment Coder (HCC, CRC) is positioned to make a meaningful impact on the delivery of care and the overall health of the patient population. If you are ready to take your expertise in risk adjustment and HCC coding to the next level, we encourage you to apply for this rewarding opportunity by clicking the job application button.
Risk Adjustment Coder (HCC, CRC) - Summary- Supports value-based care by ensuring precise risk adjustment coding and provider documentation.
- Works remotely to conduct chart audits, facilitate pre-visit planning, and deliver provider education.
- Reports to the Chief Quality Officer and collaborates with interdisciplinary teams to improve documentation accuracy and patient outcomes.
- Perform detailed chart audits to evaluate and improve provider documentation for risk adjustment purposes.
- Utilize HCC and CRC coding expertise to ensure accurate representation of patient health status.
- Collaborate with providers to review medical records and identify documentation gaps.
- Facilitate pre-visit planning to support comprehensive care and risk documentation.
- Educate providers and staff on risk adjustment coding guidelines, regulations, and industry best practices.
- Maintain up-to-date knowledge of regulatory changes that impact risk adjustment coding and population health strategies.
- Participate in quality improvement initiatives to enhance coding practices and overall care delivery.
- Competitive compensation based on experience and credentials.
- Comprehensive benefits package including health insurance, retirement plan options, and paid time off.
- Opportunities for professional development and certification renewal support.
- Remote work flexibility with supportive leadership and collaborative culture.
- Certification in risk adjustment coding (CRC, CPC, or equivalent preferred).
- Strong background in HCC coding and risk adjustment methodologies.
- Demonstrated experience in population health strategies and value-based care environments.
- Proficiency in conducting chart audits and educating healthcare providers on documentation standards.
- Excellent attention to detail and ability to work independently in a remote setting.
- Experienced in HCC and risk adjustment coding for healthcare organizations.
- Proactive communicator with the ability to educate and collaborate with interdisciplinary teams.
- Adaptable to regulatory changes and committed to quality improvement.
- Motivated by opportunities to drive impact in population health and patient care outcomes.
- Remote position reporting to the Chief Quality Officer.
- Supports organizational compliance with risk adjustment and value-based care standards.
- Applicants are encouraged to apply by clicking the job application button for consideration.
- All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.