We are seeking experienced Risk Adjustment Coders to support upcoming audit and validation initiatives within a healthcare environment. This contract opportunity will focus on reviewing medical documentation, validating diagnosis coding accuracy, and supporting risk adjustment audit processes.
The ideal candidate will possess strong knowledge of risk adjustment coding methodologies, hold an active CRC (Certified Risk Adjustment Coder) certification, and have previous experience supporting healthcare payer or audit-related projects. Candidates with prior RADV (Risk Adjustment Data Validation) experience are highly preferred.
This is an excellent opportunity for experienced coders seeking a long-term remote contract assignment within a collaborative and fast-paced healthcare setting.
We are seeking a detail-oriented Appeals & Grievance Coordinator to manage and support the review of disputed decisions, ensuring a fair, timely, and compliant process. This role is ideal for someone who thrives in a structured environment, enjoys problem-solving, and can balance accuracy with strong communication.
