Risk Adjustment Coding Associate II

The Risk Adjustment Coding Associate II reviews and analyzes patient medical records to ensure accurate coding and documentation of chronic conditions based on ICD-10-CM guidelines and CMS standards. This role supports accurate health status assessment to drive appropriate reimbursement and quality care while interacting with physicians and coding staff to ensure clinical documentation accuracy. The position requires strong knowledge of medical terminology, CMS-HCC models, and risk adjustment coding practices to maintain compliance and improve patient outcomes.