ICD-10-CM coding guidelines jobs

Risk Adjustment Auditor

CommunityCare · Posted Nov 8, 2026

Open

Tulsa, Oklahoma, United States
2+ years

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Risk Adjustment Auditor

CommunityCare · Posted Nov 8, 2026

Open

Tulsa, Oklahoma, United States
2+ years

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Clinical Risk Adjustment Documentation Specialist

UASI · Posted Aug 5, 2026

Open

Remote
Remote
2+ years

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Supports coding accuracy, HCC capture, regulatory compliance, and clinical documentation integrity in a fully remote capacity.

Responsibilities

Serves as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity in the outpatient setting.
Performs prospective reviews of medical records from physician practices, outpatient settings, and relevant inpatient encounters to validate chronic conditions and ensure documentation accuracy, clinical integrity, appropriate coding, and HCC capture.
Utilizes Epic, OurPractice Advisories (OPAs) to perform prospective chart reviews, identify documentation opportunities, validate chronic conditions, and support accurate coding, HCC capture, and clinical documentation integrity initiatives.
Track and manage work queues, review inventories, and OPA-related activities to ensure timely follow-up, productivity targets, and accurate completion of CDI interventions.
Monitor, analyze, and report CDI outcomes, documentation trends, and HCC recapture performance to identify improvement opportunities and support program goals.

Requirements

Active LPN or RN license required
Nice to have: CCDS
Nice to have: CCDS-O
Nice to have: CDIP
Nice to have: CDEO

Skills

Clinical Documentation Integrity

Medical Coder

RELI GROUP INC · Posted Nov 5, 2026

Open

Windsor Mill, Maryland, United States

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Medical Coder

Responsibilities

Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines.
Perform intake validity checks on each medical record submitted to ensure the submitted medical record documentation is from an acceptable physician specialty type, relevant dates of service for the specific Part C audit, include an acceptable physician/practitioner signature, and review submitted Attestation, is submitted. Record all process information in system in accordance with contract and organizational guidelines and processes.
Review feedback from Senior Coders to improve accuracy and quality of work.
Accurately enter data into encoder, system, and other as required software using a personal computer, keyboard and/or mouse.
Follow all established processes and procedures.

Skills

ICD-9-CM coding guidelines ICD-10-CM coding guidelines encoder system

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Medical Coder

Centrum Health · Posted Nov 5, 2026

Open

Doral, Florida, United States
Full-time · Associate
3+ years

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The Coding Coordinator acts as a primary coding contact for compliance oversight with a focus on accuracy and potential coding opportunities, as well as secondary level quality audits.

Responsibilities

Participate in risk adjustment coding audits including vendor bi-directional chart chases, gap closure, and coding completeness.
Play a key role in medical records retrieval including calling provider offices, obtaining medical records from EMR systems, and partnering with market nurses for retrieval.
Participate in secondary level quality audits of vendor’s work for RADV audits and other risk adjustment projects.
Perform code abstraction andor coding quality audits of medical records to ensure ICD-10-CM codes are appropriately assigned and supported by clinical documentation.
Identify and track areas for documentation improvements and participate in documentation improvement initiatives.

Requirements

Associate degree
Bachelor’s degree
Nice to have: Certified Risk Adjustment Coder (CRC)
Nice to have: HHS IVA RADV experience

Skills

Medicare Advantage and Commercial coding risk adjustment ICD-10-CM coding guidelines

Senior Medical Coding Specialist

Care Synergy · Posted Nov 5, 2026

Open

Denver, Colorado, United States
On-site
Full-time · Senior
$71K–$84K per year
3+ years

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Enterprise Medical Coding Specialist responsible for accurate ICD-10-CM coding across hospice, palliative care, and PACE services, ensuring compliance and supporting reimbursement.

Compensation

PAY RANGE: $71,489 - $83,990

Responsibilities

Review clinical documentation and assign accurate ICD-10-CM diagnosis codes
Ensure coding complies with CMS, payer, and regulatory requirements
Support hospice, palliative care, and PACE coding including CPT and HCPCS
Partner with physicians, nurse practitioners, and clinical teams to clarify documentation
Identify documentation gaps and coding trends

Requirements

High school diploma or equivalent
Associate degree in Health Information Management, Health Information Technology, or related field
Nice to have: Certified Coding Specialist (CCS)
Nice to have: Certified Professional Coder (CPC)
Nice to have: Certified Coding Specialist–Physician-based (CCS-P)

Skills

ICD-10-CM coding guidelines Medical terminology Clinical documentation requirements

Risk Adjustment Auditor

Risk Adjustment Auditor

Responsibilities

Requirements

Skills

Clinical Risk Adjustment Documentation Specialist

Responsibilities

Requirements

Skills

Medical Coder

Responsibilities

Skills

Medical Coder

Responsibilities

Requirements

Skills

Senior Medical Coding Specialist

Compensation

Responsibilities

Requirements

Skills

Benefits

Benefits