Habitat Health

Certified Risk Adjustment Coder

Habitat Health

full-time

Posted on:

Location Type: Remote

Location: California • United States

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Salary

💰 $24 - $27 per hour

Job Level

Junior

About the role

  • Review participant medical records and provider documentation to identify, validate, and code risk-adjustable diagnoses in accordance with CMS-HCC v24 and v28 guidelines.
  • Ensure complete, accurate, and compliant ICD-10-CM coding with a primary focus on concurrent and retrospective reviews (with flexibility for pre-visit planning as needed).
  • Draft and submit compliant provider queries to clarify documentation and support accurate coding.
  • Track and follow through on open queries—engaging with providers, monitoring responses, and closing them out appropriately.
  • Apply strong critical thinking skills to resolve complex documentation and coding scenarios.
  • Maintain clear, professional communication with providers and internal teams to support documentation completeness.
  • Stay current with CMS, OIG, and industry regulations related to risk adjustment and coding compliance.

Requirements

  • Active CRC (Certified Risk Adjustment Coder) required.
  • Minimum of 1 year of experience in risk adjustment coding.
  • In-depth knowledge of ICD-10-CM and CMS-HCC models v24 and v28.
  • Demonstrated ability to work independently, stay organized, and follow through on tasks with minimal oversight.
  • Strong written and verbal communication skills, with the ability to engage providers in a professional and solutions-oriented manner.
  • High attention to detail and ability to critically analyze clinical documentation.
  • Proficiency with electronic health records (EHR) and Microsoft Excel.
  • Aligns with our purpose and our values, and is excited about living those out in daily practice
Benefits
  • Medical/dental/vision insurance
  • Short and long-term disability
  • Life insurance
  • Flexible spending accounts
  • 401(k) savings
  • Paid time off
  • Company-paid holidays
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
ICD-10-CM codingrisk adjustment codingCMS-HCC v24CMS-HCC v28critical thinkingdocumentation analysis
Soft Skills
strong communication skillsorganizational skillsindependent workattention to detailsolutions-oriented approach
Certifications
Certified Risk Adjustment Coder (CRC)