Job Description: Risk Adjustment Coder

• Review medical records to identify and validate reportable diagnoses.
• Perform first-pass and second-pass coding reviews and audits, as applicable.
• Ensure accurate diagnosis code assignment in accordance with ICD-10-CM guidelines and CMS requirements.
• Verify that coded diagnoses are supported by appropriate medical record documentation.
• Identify coding discrepancies, documentation gaps, and potential compliance issues.
• Maintain accurate audit documentation and record findings, errors, and recommendations.
• Follow established coding guidelines, quality standards, and compliance protocols.
• Meet productivity, accuracy, and quality performance targets.
• Collaborate with internal teams to resolve coding discrepancies and support audit requirements.