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Certified Medical Coder - Risk Adjustment

Porter
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Hybrid (Pompano Beach, FL)$50k - $54kFull-timePosted 3mo ago

About the role

Risk Adjustment Coder role focusing on in-home health assessments with CMS risk adjustment knowledge, maintaining 98% coding accuracy, and managing provider queries across multiple clients.

Responsibilities

  • Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring compliance with CMS risk adjustment and quality guidelines.
  • Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
  • Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
  • Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
  • Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
  • Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
  • Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
  • Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
  • Maintain confidentiality and ensure full compliance with HIPAA regulations.

Qualifications

  • Certification Required - CPC or CSS
  • Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.
  • Expertise in managing provider queries and improving provider documentation through coding feedback.
  • Proficiency in using coding clinics and reference tools for accurate coding and provider education.
  • Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
  • Experience with electronic medical records (EMR) and coding tools.
  • Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.
  • Strong attention to detail, prioritizing coding quality and compliance.

Skills

Required:ICD-10 codingCPT/CPT II codingCMS risk adjustmentProvider query managementCoding clinics / provider educationEMR proficiency

Benefits

  • Competitive wage and benefits package.
  • Opportunities for professional growth and continuing education.
  • A supportive, collaborative work environment.
  • We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Last updated Oct 21, 2026. Interested? Apply on the company site.

About Porter

Combining the Power of Analytics with the Power of Care

Improve risk adjustment revenue, quality star ratings, and patient outcomes with Porter's value-based care solution powered by AI and advanced analytics.

AnalyticsCare coordinationHealth techAIRisk adjustmentPatient outcomes
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