Risk Adjustment HCC Coder - Remote Medical Coding Job in Baltimore, Maryland
Remote Opportunity | Full-Time | Permanent/Direct Hire | Two Openings
Join a collaborative risk adjustment and clinical documentation integrity workflow as a Risk Adjustment HCC Coder supporting FQHC and value-based care populations. In this remote medical coding job, you will review medical records to validate HCC opportunities, confirm accurate ICD-10-CM coding, and determine whether diagnoses are supported by clinical documentation.
This remote Risk Adjustment Coder role is associated with the Baltimore, Maryland area, a dynamic healthcare hub known for its strong medical community and access to leading clinical and healthcare organizations.
Risk Adjustment HCC Coder Job Details
Work Arrangement: Remote
Employment Type: Permanent/direct opportunity
Schedule: 8-hour days, 5 shifts per week
Hours: 40 hours per week
Weekly Estimated Pay: $1,300-$1,550
Openings:
2
Clinical Focus: Risk adjustment, HCC coding, FQHC, Medicaid, Medicare, and value-based care
Electronic Medical Record: eClinicalWorks experience is helpful but not required
Medical Coder Job Requirements
At least 1 year of experience in risk adjustment coding, HCC coding, medical coding, or a related healthcare coding role
Certified Professional Coder (CPC) certification required
Certified Risk Adjustment Coder (CRC) certification required
Strong knowledge of ICD-10-CM coding guidelines and risk adjustment methodologies
Experience reviewing clinical documentation to validate diagnoses and support accurate risk adjustment capture
Ability to identify both missed HCC opportunities and unsupported diagnoses
Understanding of Medicaid and Medicare risk adjustment programs
Experience in an FQHC, primary care, ambulatory, or value-based care setting preferred
Strong critical-thinking, communication, organization, and attention-to-details skills
Ability to work independently in a remote environment while collaborating effectively with CDI and coding teams
Risk Adjustment Coder Responsibilities
Review potential missed risk adjustment and HCC opportunities identified through clinical documentation review
Validate diagnoses against the medical record and assign accurate ICD-10-CM codes
Determine whether clinical documentation adequately supports each risk-adjusted diagnosis
Identify unsupported diagnoses and opportunities that should not be captured based on the available documentation
Recognize additional missed risk adjustment opportunities during medical record review
Provide clear coding rationale and feedback to the CDI team regarding validated or unsupported opportunities
Review documentation for appropriate diagnosis specificity and accurate HCC risk capture
Apply applicable Medicaid and Medicare risk adjustment guidelines and methodologies
Support quarterly risk adjustment reviews across assigned patient populations
Collaborate with CDI partners to improve documentation quality, medical coding accuracy, and compliance
Benefits: 401K with Matching, Healthcare, Dental and Vision
Equal Opportunity
We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.