Risk Adjustment & HCC Coding Director | Remote

Role Overview

Apply your expertise in risk adjustment and HCC coding to evaluate coding accuracy, documentation integrity, and compliance-focused workflows that support value-based healthcare programs.

What You Will Be Doing

• Review and assess HCC coding assignments and risk adjustment recommendations for accuracy and compliance
• Evaluate medical records to ensure appropriate capture of risk-adjusting conditions supported by documentation
• Conduct retrospective and prospective chart reviews to identify coding opportunities and documentation gaps
• Support audit readiness activities, validation processes, and risk score integrity initiatives
• Provide structured feedback on coding outputs, regulatory alignment, and documentation quality

Who We Are Looking For

• Experienced professionals in risk adjustment, HCC coding, Medicare Advantage coding, or related operations
• Deep knowledge of CMS-HCC, RxHCC, ACA HHS-HCC, and ICD-10-CM coding methodologies
• Strong understanding of audit preparation, coding compliance requirements, and documentation standards
• Relevant certifications such as CRC, CCS, CPC, RHIA, or equivalent are highly valued
• Exceptional analytical skills with the ability to identify coding inaccuracies and documentation deficiencies

Role Details

• Compensation: $110 per hour
• Work style: Fully remote, flexible independent contract
• Duration: Ongoing project-based engagement

How To Apply

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Shortlisted candidates will be contacted with next steps