Qureos Mentor

Premier Law Group

Job Description: Remote CRC CoderPremier Medical &ndash; Job DescriptionPosition Title: Certified Risk Adjustment Coder (CRC) &ndash; Remote Department: Clinical Documentation &amp; Risk Adjustment Reports To: Director of Clinical Documentation / Operations Employment Type: Full-Time / RemotePosition SummaryPremier Medical is seeking a Certified Risk Adjustment Coder (CRC) to join our growing team. This position plays a vital role in supporting our value-based care model by ensuring complete and accurate capture of patient risk factors. The CRC Coder will review provider documentation, apply ICD-10-CM codes, and ensure compliance with CMS, ACA, and Medicare Advantage risk adjustment guidelines. The role directly supports our mission of delivering high-quality, patient-centered care while maintaining operational and financial integrity.Key Responsibilities<ul><li>Review patient charts from Premier Medical providers and abstract accurate ICD-10-CM diagnosis codes.</li><li>Apply risk adjustment coding principles, including Hierarchical Condition Categories (HCCs), RAF scoring, and Medicare Advantage requirements.</li><li>Ensure provider documentation supports all reported codes; query providers when clarification is required.</li><li>Collaborate with Premier Medical&rsquo;s CDI, Quality, and Provider Education teams to strengthen clinical documentation integrity.</li><li>Participate in retrospective and prospective chart reviews, audits, and compliance checks.</li><li>Maintain knowledge of CMS, HHS, OIG, and health plan risk adjustment guidelines.</li><li>Consistently meet accuracy and productivity standards established by Premier Medical leadership.</li><li>Support provider training initiatives related to risk adjustment documentation as directed by management.</li></ul>Qualifications<ul><li>Active CRC certification (AAPC) required. Additional credentials (CPC, CCS, or CCS-P) preferred.</li><li>Minimum 2 years of hands-on coding experience in Medicare Advantage, ACA, or Medicaid risk adjustment models.</li><li>Strong knowledge of ICD-10-CM coding guidelines and HCC methodology.</li><li>Prior experience with value-based care models strongly preferred.</li><li>Proficiency in EHR systems (ECW preferred) and coding software.</li><li>Exceptional attention to detail with strong organizational and analytical skills.</li><li>Excellent communication skills, with the ability to query providers and explain coding principles.</li><li>Ability to work independently in a remote environment and meet deadlines.</li></ul>Work Environment<ul><li>100% Remote, with secure and HIPAA-compliant home office required.</li><li>Flexible scheduling within standard business hours.</li><li>Collaborative virtual team environment with direct access to Premier Medical leadership.</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs90,000.00 per monthWork Location: In person

CRC Coder

Join Premier Law Group and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Premier Law Group

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CRC Coder