Job Description
Location: Remote
Type: Contract (Part-Time, ~10–15 hours per month)
Who We Are
At Advanced Care Specialists (ACS), we are building a proactive, team-based primary care model focused on managing patients with chronic and complex conditions. As we expand into value-based care, accurate risk adjustment and documentation are critical to both patient outcomes and long-term success.
Role Overview
We are seeking an experienced Risk Adjustment Coder / HCC Specialist to support our primary care team on a monthly contract basis.
This role will focus on chart review, HCC identification, and documentation improvement, while also helping us build scalable workflows for pre-visit planning and ongoing condition capture.
This is a high-impact, advisory + execution role, not a high-volume production coding job.
Key Responsibilities:
- Chart Audits & HCC Identification
- Review patient charts to identify missed or under-documented HCC conditions
- Validate accuracy of current coding and documentation
- Ensure alignment with MEAT criteria (Monitor, Evaluate, Assess, Treat)
- Risk Adjustment Optimization
- Highlight opportunities for improved specificity and condition capture
- Support annual HCC recapture strategies
- Provide insight into RAF optimization opportunities
- Workflow Development & Support
- Collaborate with clinical team to improve:
- Pre-visit planning workflows
- Documentation habits
- HCC capture processes
- Help translate findings into repeatable systems, not just one-time audits
- Provider & Staff Feedback
- Provide clear, actionable feedback to providers and staff
- Identify common documentation gaps and trends
- Support ongoing education around HCC and risk adjustment best practices
What We’re Looking For
- Required:
- Strong experience in risk adjustment / HCC coding (outpatient/primary care)
- Deep understanding of MEAT criteria and RAF scoring
- Experience performing chart audits and documentation reviews
- Ability to communicate findings clearly to clinical teams
- Preferred:
- Certification such as CPC or CRC (via AAPC)
- Experience working with Medicare Advantage or value-based care models
- Familiarity with eClinicalWorks (eCW) or similar EHRs
- Experience supporting workflow or process improvement (not just coding)
- Additional
- Expected monthly commitment: 10–15 hours - this role can grow as our primary care volume increases
- Flexible schedule with async collaboration
Pay: From $85.00 per hour
Work Location: Remote
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