Risk Adjustment Coding Advisor
Posted 2025-09-12
Remote, USA
Full Time
Immediate Start
A great starter role is available at pathremotenetwfh for a Risk Adjustment Coding Advisor! This role is 100% remote, giving you full control over your work environment. This position requires a strong and diverse skillset in relevant areas to drive success. This position comes with an attractive salary of a competitive salary.
Description:
• Working with clients to establish and maintain risk adjustment coding accuracy thresholds
• Reviewing and auditing medical records and physician documentation for HCC accuracy
• Conducting strategic analysis and scenario modeling across functional disciplines
• Tracking, aggregating and summarizing coding and billing rules for the product team
• Collaborating with engineering, product, and customer success teams on client roadmap
• Providing coding education and training to internal engineering and product teams
• Preparing executive presentations and reports for internal and external audiences
• Developing and enhancing internal and client-facing analytics and reporting
Requirements:
• Current AAPC CRC certification or AHIMA RAC microcredential
• Prior experience working in healthcare, especially healthcare consulting
• Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs
• Working knowledge of anatomy/physiology, disease process and medical terminology
• Familiarity with medications and reimbursement guidelines
• Proven ability to communicate effectively across domains and experience levels
• Drive to innovate, identify novel approaches, and act decisively
• Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.)
Benefits:
• Joining a high-growth technology firm
• Opportunity to work with cutting-edge AI technology
• Working in a cross-functional role across multiple disciplines Apply Job!
Your Future Starts HereDon't miss out on this exciting role. We are looking forward to hearing from you. Apply now!
Description:
• Working with clients to establish and maintain risk adjustment coding accuracy thresholds
• Reviewing and auditing medical records and physician documentation for HCC accuracy
• Conducting strategic analysis and scenario modeling across functional disciplines
• Tracking, aggregating and summarizing coding and billing rules for the product team
• Collaborating with engineering, product, and customer success teams on client roadmap
• Providing coding education and training to internal engineering and product teams
• Preparing executive presentations and reports for internal and external audiences
• Developing and enhancing internal and client-facing analytics and reporting
Requirements:
• Current AAPC CRC certification or AHIMA RAC microcredential
• Prior experience working in healthcare, especially healthcare consulting
• Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs
• Working knowledge of anatomy/physiology, disease process and medical terminology
• Familiarity with medications and reimbursement guidelines
• Proven ability to communicate effectively across domains and experience levels
• Drive to innovate, identify novel approaches, and act decisively
• Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.)
Benefits:
• Joining a high-growth technology firm
• Opportunity to work with cutting-edge AI technology
• Working in a cross-functional role across multiple disciplines Apply Job!
Your Future Starts HereDon't miss out on this exciting role. We are looking forward to hearing from you. Apply now!