Risk Adjustment Consultant (Healthcare Coding)

Location: Fully remote

Salary: $72,371.94–$90,464.92 annually based on full-time equivalent

Company

hirify.global operates an integrated healthcare network supporting clinical care, health information management, and revenue cycle operations.

What you will do

• Review and audit medical records for diagnosis and CPT coding accuracy across Medicare, Medicaid, Commercial HCC, and DxCG programs.
• Validate provider documentation, authorized providers, face-to-face services, signatures, and other technical requirements.
• Analyze audit findings, identify trends and diagnosis gaps, and recommend corrective actions.
• Collaborate with internal leadership, network providers, and vendors on coding adjustments and risk adjustment contracts.
• Provide coding guidance, training, and feedback to physicians and network providers.
• Research regulatory issues, interpret CMS and coding guidelines, and present recommendations to leadership.

Requirements

• Certified Risk Adjustment Coder (CRC), or ability to obtain the certification within the first 12 months of employment.
• At least two years of outpatient billing, coding, and risk adjustment experience.
• Strong knowledge of ICD-10-CM coding standards, CPT coding, CMS guidelines, and outpatient risk adjustment requirements.
• Excellent organizational, written, verbal communication, presentation, and interpersonal skills.
• Ability to manage multiple tasks, meet deadlines, work independently, and collaborate effectively.
• Ability to work in a sedentary professional office environment and occasionally lift or move up to 25 pounds.

Nice to have

• Associate’s degree.
• CRC certification at the time of hire.
• Experience with primary care adult medicine.

Culture & Benefits

• Full-time schedule of 40 hours per week, Monday through Friday.
• Fully remote work arrangement.
• Compensation is determined using experience, certifications, education, skills, and internal equity.
• Comprehensive total rewards package supporting health, financial security, and career growth.