[Hiring] HCC Risk Adjustment Coding Consultant @24-MAG

Role Description

We are sharing a specialised part-time consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in:

• HCC coding
• Medicare Advantage risk adjustment
• Medicaid managed care
• ACA risk adjustment
• RADV audit preparation
• Medical record review
• Documentation capture
• Coding compliance

This role supports current and upcoming remote consulting opportunities focused on:

• AI-assisted risk adjustment coding evaluation
• HCC recommendation review
• Documentation completeness assessment
• High-quality project execution

Selected professionals will apply coding and risk adjustment expertise to:

• Evaluate AI-generated HCC assignments
• Review documentation support
• Identify coding inaccuracies
• Provide structured feedback based on detailed project criteria

Qualifications

• 5+ years of experience in risk adjustment coding, HCC coding, Medicare Advantage coding operations, or related healthcare coding workflows
• At least 2 years of leadership experience in risk adjustment, HCC coding, coding quality, chart review, or coding operations
• Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies
• Strong knowledge of ICD-10-CM coding guidelines as applied to risk adjustment and HCC documentation
• Experience with RADV audit preparation, CMS compliance requirements, chart retrieval workflows, and risk adjustment quality review
• Familiarity with RAPS and EDGE submission processes
• Exceptional written and verbal English communication skills
• High attention to detail and ability to identify coding inaccuracies, unsupported diagnoses, and documentation gaps in AI-generated outputs

Requirements

• Professional background in risk adjustment coding, HCC coding, medical coding, health information management, Medicare Advantage operations, managed care coding, value-based care, or coding compliance
• Experience in health plans, Medicare Advantage organizations, Medicaid managed care organizations, provider groups, value-based care organizations, or coding vendor environments
• Practical experience with chart review systems, coding platforms, risk adjustment analytics tools, EHR documentation, and audit workflows
• Formal education or training in health information management, medical coding, healthcare administration, nursing, clinical documentation, or a related healthcare field

Benefits

• Apply HCC coding and risk adjustment expertise to structured remote healthcare project work
• Contribute to high-quality AI-assisted risk adjustment coding and documentation review
• Use coding leadership, audit preparation experience, and compliance judgment in a focused review environment
• Work on flexible assignments aligned with Medicare Advantage, managed care, ACA risk adjustment, and value-based care expertise
• Remote structure with competitive hourly compensation

Contract Details

• Independent contractor role
• Fully remote with flexible scheduling
• United States-based professionals are required for this opportunity
• Part-time project-based commitment depending on availability, onboarding status, and project needs
• Competitive rates of up to $85 per hour depending on risk adjustment experience, HCC coding expertise, leadership background, and project scope
• Weekly payments via Stripe or Wise
• Projects may be extended, shortened, or adjusted depending on scope and performance
• Work will not involve access to confidential or proprietary information from any employer, client, or institution