Habitat Health · 3 hours ago
Certified Risk Adjustment Coder
United States
Full-time
Remote
Entry Level
$24/hr - $27/hr
1+ years expHabitat Health is dedicated to providing comprehensive health care for older adults, enabling them to age independently and joyfully at home. They are seeking a Certified Risk Adjustment Coder to ensure accurate and compliant documentation for PACE participants, requiring expertise in coding standards and strong critical thinking skills.
Health CareMedicalNutritionPersonal Health
Responsibilities
Review participant medical records and provider documentation to identify, validate, and code risk-adjustable diagnoses in accordance with CMS-HCC v24 and v28 guidelines
Ensure complete, accurate, and compliant ICD-10-CM coding with a primary focus on concurrent and retrospective reviews (with flexibility for pre-visit planning as needed)
Draft and submit compliant provider queries to clarify documentation and support accurate coding
Track and follow through on open queries—engaging with providers, monitoring responses, and closing them out appropriately
Apply strong critical thinking skills to resolve complex documentation and coding scenarios
Maintain clear, professional communication with providers and internal teams to support documentation completeness
Stay current with CMS, OIG, and industry regulations related to risk adjustment and coding compliance
Qualification
Required
Active CRC (Certified Risk Adjustment Coder) required
Minimum of 1 year of experience in risk adjustment coding
In-depth knowledge of ICD-10-CM and CMS-HCC models v24 and v28
Demonstrated ability to work independently, stay organized, and follow through on tasks with minimal oversight
Strong written and verbal communication skills, with the ability to engage providers in a professional and solutions-oriented manner
High attention to detail and ability to critically analyze clinical documentation
Proficiency with electronic health records (EHR) and Microsoft Excel
Aligns with our purpose and our values, and is excited about living those out in daily practice
Preferred
Experience as a risk adjustment coder in PACE, long-term care, or complex care populations
Background in clinical documentation improvement (CDI) or coding quality assurance
Experience with Epic/OCHIN systems
Benefits
Medical/dental/vision insurance
Short and long-term disability
Life insurance
Flexible spending accounts
401(k) savings
Paid time off
Company-paid holidays
Company
Habitat Health
Habitat Health provides health and social care to older persons with medical services.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$50M2024-04-09Series Unknown· $50M
Recent News
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2025-02-15
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