Risk Adjustment Coder

AAPC

PACE Risk Adjustment Coder validating medical records' ICD-10-CM codes for healthcare organizations. Responsible for accuracy, quality standards, and HIPAA compliance.

Posted 6/9/2026contractRemote • California, Massachusetts, New Jersey, New York • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment
Meet department production and quality standards
Research regulatory guidelines for supporting documentation
Prepare coding reports using excel
Prepare oral and/or written reports of work activity to Supervisor
Be responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information.
Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach
Other duties as assigned

Requirements

What you’ll need

Minimum 3 years of PACE risk adjustment coding experience
Extensive ICD-10-CM coding experience, with Risk Adjustment models for PACE
Excellent written and verbal communication skills
Ability to “own” project and complete charts assigned in work queue daily
Detail oriented and deadline driven attitude
Ability to think critically and determine the best method for completing tasks
Strong computer skills (Excel, Word, EMR systems, and internet)
Ability to multitask and keep a sense of urgency
Strong time management, organization skills, and work ethic
CRC certification and 3 years’ experience coding risk adjustment.

Benefits

Comp & perks

Humble - Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
Supportive - Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
Driven - Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
Transparent - Aligned with a culture of openness, integrity, and trustworthiness. Follows through on commitments to internal and external parties. Maintains strict accountability and values the trust placed in them by others.
Innovative - Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-10-CM codingPACE risk adjustment codingcoding reportsregulatory guidelines researchproject ownershipchart completioncritical thinkingmultitaskingtime managementdetail orientation

Soft Skills

written communicationverbal communicationorganizational skillswork ethicsense of urgency

Certifications

CRC certification