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REMOTE Risk Adjustment Medical Coding Consultant (CPC, CRC, CCS)

Remote, USA Full-time Posted 2025-04-26

CSI 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 CEU’s
• 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 ICD–10-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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