REMOTE Risk Adjustment Medical Coding Consultant (CPC, CRC, CCS)
Posted 2025-04-06CSI Companies is actively hiring for a REMOTE Risk Adjustment Medical Coding Consultant for full-time hours ( minimum 30 hours a week) to join our growing Managed Services team.
Working for CSI as a Risk Adjustment Medical Coding Consultant in our Managed Services team will offer you the opportunity to:
 Work with nationally recognized healthcare client companies that are industry leaders
 Work on various projects as desired in 4 risk models (Rx HHS, CDPS, CMS and CAI), in multiple coding platforms, offering project variety while improving skill sets and always in a CSI Team environment with training, supportive coaching and tools proprietary to CSI
 Have access to our internal learning platform, CSI University, for CSI proprietary risk adjustment educational content and free CEUÂs
 Have the ability to move from project to project year-round as clients require unique services, including risk adjustment coding, validation auditing and Code All ICD
Check out what other coders are sharing about their experience working at CSI- Indeed Reviews
The What You Want to Know!
 100% REMOTE  Work from home
 Flexible working schedule
 PAY PER HOUR model
 Paid training
 Long-term contract position- Benefits Offered!
 Required Certification: Active certified coder certification through AHIMA or AAPC required: CRC, CPC, CCS-P, CCS (Certified Risk Adjustment Coder, Certified Professional Coder, Certified Coding Specialist- Physician Based)
 Pay: $22-29/hr based on experience- Tiered hourly compensation models based on performance and years of experience with biannual reviews by CSI Team Leads.
 In House Expert Coding Support  mentoring, coaching, QA, CEUs
 Small team environment of 10-12 coders for peer support and collaboration
 Reporting to an assigned CSI Team Lead who performs internal quality control and provides 1:1 weekly remediation and coaching
The What Will You Be Doing?
 Assign appropriate ICDÂ10-CM codes, mapping to risk adjustment models as applicable
 Assign Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes
 Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines
 Comply with HIPAA laws and regulations
 Maintain quality and production standards required by company  all medical coders must maintain minimum QA passing requirements. Quality expectations are 95% accuracy on all projects.
 Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements
The Position Requirements:  Active certified coder certification (CRC, CPC, CCS, CCS  P) through AHIMA or AAPC  Minimum 2 years of experience as a certified coder  Minimum 2 years of risk adjustment experience  Ability to code using an ICD-10-CM code book  Computer proficiency (including MS Windows, MS Office, and the Internet  High-speed Internet access
What other skills/experience would be helpful to have?
 Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation
 Strong clinical knowledge related to chronic illness diagnosis, treatment and management
 Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred)
 Reliability and a commitment to meeting tight deadlines
 Personal discipline to work remotely without direct supervision
 Exemplary attention to detail and completeness
 Strong organization, interpersonal, and customer service skills
 Written and oral communication skills
 Analytical skills
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