Certified Risk Adjustment Coder (Hybrid)

Certified Risk Adjustment Coder (CRC) Hybrid | Des Moines, IA (Onsite TuesThurs, Remote Mon/Fri) $40/hour | 6-Month Contract with Potential for Conversion We are seeking a Certified Risk Adjustment Coder (CRC) to support Medicare Risk Adjustment initiatives through detailed HCC medical record reviews and direct provider engagement. This role is ideal for someone confident, collaborative, and comfortable working onsite with provider teams to drive documentation accuracy and performance improvement. This position requires onsite presence TuesdayThursday in Des Moines, IA with 10% local travel, and remote flexibility on Mondays and Fridays. Position Overview This role performs concurrent medical record reviews to ensure accurate capture of HCC conditions and appropriate documentation reflecting patient severity of illness. The coder will collaborate closely with physicians, clinical leadership, and provider engagement teams to improve documentation practices and support compliance with CMS guidelines. Key Responsibilities Conduct comprehensive reviews of medical records for accurate HCC diagnosis capture Validate diagnosis codes within Clinical Documentation Improvement (CDI) alerts Identify missed or unsupported diagnoses and initiate provider queries Ensure compliance with CMS, ICD-10-CM, and Risk Adjustment guidelines Interact directly with physicians to improve documentation quality Analyze findings and present documentation improvement opportunities Support provider education initiatives and track performance metrics Maintain strong collaboration with clinical leadership and network performance teams Required Qualifications Active CRC certification (required) Minimum 35 years of HCC coding and provider query experience Experience conducting medical record reviews for Medicare Risk Adjustment Strong knowledge of ICD-9/ICD-10 coding guidelines Ability to confidently communicate with providers and clinical leadership Advanced proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint) Experience working within multiple EMR systems Ability to manage deadlines and high-volume workload with accuracy Preferred Qualifications 5+ years of clinical chart review or HCC medical record review Clinical background (RN, CDI certification, or related credentials) Experience presenting documentation findings to leadership teams Bachelors degree in a related field (preferred) What Were Looking For Strong communicator who can professionally engage and educate providers Detail-oriented with high accuracy and analytical ability Self-starter who can work independently and onsite within a collaborative environment Comfortable receiving and delivering feedback If you are a confident Risk Adjustment professional who enjoys provider interaction and driving documentation excellence, we would love to connect.

Created: 2026-03-04