Risk Adjustment Coder

Centene Corporation

Risk Adjustment Coder coding and analyzing medical records using ICD-10 for CMS risk adjustment. Requires certifications and minimum 2 years of coding experience in healthcare.

Posted 4/16/2026full-timeRemote • Florida, Ohio, Tennessee, Texas • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $40 per hourWebsite

About the role

Key responsibilities & impact

Codes, abstracts and analyzes inpatient and/or outpatient medical records using the most current International Classification of Diseases, Tenth Revision (ICD-10) for CMS risk adjustment purposes.
Always coding to the highest level of specificity.
Follows the Official ICD-10 guidelines for Coding and Reporting.
Follows CMS risk adjustment guidelines.
Understands the impact of ICD-10 codes on the CMS HCC risk adjustment model.
Ability to meet productivity and accuracy standards.
Ability to defend coding decisions to both internal and external audits.
Performs other duties as assigned.
Complies with all policies and standards.

Requirements

What you’ll need

A High School or GED
A Bachelor's Degree in a related field (preferred)
2+ years of experience in professional coding experience either in a hospital or physician setting
Other Healthcare industry experience (preferred)
A license in one of the following is required: Certified Professional Coder (CPC)

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-10 codingmedical record analysiscoding specificityCMS risk adjustmentcoding guidelinesHCC risk adjustment modelproductivity standardsaccuracy standardsdefending coding decisions

Soft Skills

attention to detailanalytical skillscommunication skillsorganizational skills

Certifications

Certified Professional Coder (CPC)