Strategic Staffing Solutions, Inc. is hiring: Risk Adjustment Coder in Baton Rouge

Location: Baton Rouge, LA 70809

Contract Length: 4 Months

Position Summary: We are seeking an experienced Risk Adjustment Coderwith a strong background inMedicare Advantage Risk AdjustmentandACA Risk Adjustmentcoding. This position supports ongoing risk adjustment initiatives through accurate coding, medical record review, documentation validation, and quality assurance activities. The coder will help ensure compliance with CMS and other regulatory requirements while supporting risk adjustment accuracy and revenue integrity goals. Candidates should have demonstrated experience withCMS-HCC coding methodologies, medical record review, and risk adjustment documentation validation .This position works under general supervision and does not have direct supervisory responsibilities.

Key Responsibilities: Review and assess medical record documentation and accurately assign ICD-10-CM diagnosis codes for Medicare Advantage and ACA Risk Adjustment programs. Perform retrospective and prospective coding reviews to identify supported HCC conditions. Evaluate medical records for coding accuracy, completeness, and compliance with CMS Risk Adjustment guidelines. Conduct quality assurance reviews and coding audits to ensure coding accuracy and regulatory compliance. Identify coding trends and provide feedback regarding documentation improvement opportunities. Support risk adjustment data validation, chart review, and audit initiatives. Collaborate with business partners and stakeholders to support risk adjustment and coding accuracy goals. Maintain productivity and quality standards while meeting established deadlines. Assist with gap identification and closure initiatives for Medicare and ACA populations. Document coding results in designated systems and maintain accurate records. Perform other duties as assigned.

Required Qualifications: Education High School Diploma or GED required. Experience Minimum of 3 years of medical coding experience .Strong Medicare Advantage Risk Adjustment codingexperience required. Experience withCMS-HCC coding methodologiesand risk adjustment programs. Experience performing medical record reviews and coding validation activities. Experience interpreting clinical documentation and assigning accurateICD-10-CM diagnosis codes .Ability to work independently in a remote environment while maintaining productivity and quality expectations.

Knowledge, Skills, and Abilities: Advanced knowledge of ICD-10-CM coding guidelines. Strong understanding of Medicare Advantage Risk Adjustment and HCC coding methodologies. Working knowledge of ACA Risk Adjustment principles. Strong analytical and problem-solving skills. Excellent attention to detail and organizational skills. Ability to interpret complex clinical documentation. Strong written and verbal communication skills. Intermediate proficiency with Microsoft Office applications. Experience working with Electronic Medical Record (EMR) systems. Ability to manage multiple priorities and meet deadlines in a fast-paced environment.