Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy, and consent to receive emails from Rise
Jobs / Job page
Risk Adjustment Coder image - Rise Careers
Job details

Risk Adjustment Coder

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Job Details

We are seeking a Professional Remote Medical Coder who will apply his or her technical and specialized expertise to help healthcare programs remain compliant with government regulations while identifying opportunities for increased financial success. The Professional Medical Coder will work from his or her home office to review, analyze, and code diagnostic and procedural information from medical records that determine payments to our clients. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

 

The Remote Medical Coder will:

  • Perform medical record reviews and use coding principles to code to the highest specificity and comply with CMS and HIPAA regulations as well as company goals and policies.

  • Perform Quantitative and Qualitative analysis of paper and electronic medical records for completeness, consistency and accuracy.

  • Perform risk adjustment data validations using AHA coding guidelines.

  • Interact with clients and co-workers to communicate value added information, make improvements and maintain strong partnerships.

  • Be a constant learner, performing research and staying abreast of updates to remain top in his/her field.


Requirements


The successful candidate for this position will:

  • Possess valid Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association, Certified Professional Coder (CPC) designation, Certified Professional Coder Apprentice (CPC-A) designation or CCA designation with at least one year of coding experience. Being a Registered Health Information Administrator (RHIA) is a plus.

  • Possess at least 6 months experience coding ICD-10 CM.

  • Have experience with MS Word, Excel, PowerPoint, and be comfortable learning and becoming an expert on new and proprietary software.

  • Have strong written and verbal communication skills, including propensity to establish and build strong relationships.

  • Take initiative to establish priorities, coordinate work activities and perform multiple and complex tasks while working independently and with minimal supervision in a remote setting.

  • Be detail oriented and quick to follow instructions and learn new tasks.

  • Possess a strong work ethic with impeccable integrity.*Documentation Improvement experience, experience in Hierarchical Condition Categories (HCC), knowledge of or experience in Medicare Advantage plans and knowledge of or experience in managed health care systems, PACE or Medicare are a plus.

AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Average salary estimate

$70000 / YEARLY (est.)
min
max
$60000K
$80000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

Similar Jobs
Photo of the Rise User
Posted 12 days ago
Dental Insurance
Disability Insurance
Vision Insurance
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Performance Bonus
Family Medical Leave
Paid Holidays

Lead the acquisition and strategic management of healthcare data assets at GSK to empower cross-functional analytics and innovation.

Photo of the Rise User
Posted 11 days ago

Contribute to data analytics and engineering projects as a Data Strategy & Insights Engineering Co-Op at Avery Dennison while sharpening your skills within a supportive internship program.

Posted 6 days ago

Lead the enterprise-wide data governance initiatives at ASU Enterprise Partners, developing policies and systems to ensure secure, compliant, and innovative data management.

Cornspring Hybrid No location specified
Posted 9 days ago

Cornspring seeks a passionate Data Engineer specializing in Python to innovate AI-powered financial data solutions in a hybrid Manhattan office environment.

Photo of the Rise User
Posted 11 days ago

An opportunity to contribute as a Senior Data Engineer at KBRA, working remotely to deliver scalable Python-based financial analytical solutions with a strong focus on collaboration and software craftsmanship.

JPMC Hybrid New York, New York, United States
Posted 4 hours ago

Lead the Connected Commerce data strategy as Data Owner VP, driving personalized product capabilities through advanced analytics and AI/ML innovations.

Micron Hybrid Boise, ID - Main Site
Posted 9 days ago

Micron Technology is looking for a Sr. Business Data Engineer to develop and optimize data processing systems at their Boise main site.

Mountaire Jobs Hybrid Millsboro, Delaware, United States
Posted 7 days ago

Seeking a detail-oriented Master Data Services Coordinator to manage and coordinate enterprise master data across multiple business domains and systems.

Photo of the Rise User
Posted 6 days ago

Omnidian is seeking a Senior Data Engineer to lead the development of data infrastructure and IoT data pipelines in a remote, growth-stage tech company focused on sustainable energy solutions.

Photo of the Rise User
Acrisure Innovation Hybrid Atlanta, Georgia, United States
Posted 3 days ago

Acrisure is hiring a visionary Chief Data Officer to transform data into a strategic asset and lead global data initiatives within a rapidly expanding fintech and insurance company.

Expedia Hybrid Washington - Seattle Campus
Posted 35 minutes ago

Expedia Group seeks a motivated Data Engineer I to develop scalable data pipelines supporting advertising platforms in a vibrant and inclusive workplace.

Photo of the Rise User
Posted 7 days ago

Experienced data leader needed to spearhead Govini’s data strategy and product development for national security-focused analytics.

Photo of the Rise User
Posted 10 days ago
Inclusive & Diverse
Rise from Within
Mission Driven
Diversity of Opinions
Work/Life Harmony
Customer-Centric
Social Impact Driven
Dare to be Different
Maternity Leave
Paternity Leave
401K Matching
Paid Holidays
Paid Time-Off
Medical Insurance
Dental Insurance
Vision Insurance
Mental Health Resources
Life insurance
Health Savings Account (HSA)
Flexible Spending Account (FSA)

GitLab is looking for a Senior Analytics Engineer to enhance its Enterprise Data Platform by developing efficient data models and fostering collaboration across business and technical teams.

MATCH
VIEW MATCH
FUNDING
DEPARTMENTS
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
No info
HQ LOCATION
No info
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
May 13, 2025

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!