CRC Coder

Job Description: Remote CRC Coder

Premier Medical – Job Description

Position Title: Certified Risk Adjustment Coder (CRC) – Remote

Department: Clinical Documentation & Risk Adjustment

Reports To: Director of Clinical Documentation / Operations

Employment Type: Full-Time / Remote

Position Summary

Premier Medical is seeking a Certified Risk Adjustment Coder (CRC) to join our growing team. This position plays a vital role in supporting our value-based care model by ensuring complete and accurate capture of patient risk factors. The CRC Coder will review provider documentation, apply ICD-10-CM codes, and ensure compliance with CMS, ACA, and Medicare Advantage risk adjustment guidelines. The role directly supports our mission of delivering high-quality, patient-centered care while maintaining operational and financial integrity.

Key Responsibilities

• Review patient charts from Premier Medical providers and abstract accurate ICD-10-CM diagnosis codes.
• Apply risk adjustment coding principles, including Hierarchical Condition Categories (HCCs), RAF scoring, and Medicare Advantage requirements.
• Ensure provider documentation supports all reported codes; query providers when clarification is required.
• Collaborate with Premier Medical's CDI, Quality, and Provider Education teams to strengthen clinical documentation integrity.
• Participate in retrospective and prospective chart reviews, audits, and compliance checks.
• Maintain knowledge of CMS, HHS, OIG, and health plan risk adjustment guidelines.
• Consistently meet accuracy and productivity standards established by Premier Medical leadership.
• Support provider training initiatives related to risk adjustment documentation as directed by management.

Qualifications

• Active CRC certification (AAPC) required. Additional credentials (CPC, CCS, or CCS-P) preferred.
• Minimum 2 years of hands-on coding experience in Medicare Advantage, ACA, or Medicaid risk adjustment models.
• Strong knowledge of ICD-10-CM coding guidelines and HCC methodology.
• Prior experience with value-based care models strongly preferred.
• Proficiency in EHR systems (ECW preferred) and coding software.
• Exceptional attention to detail with strong organizational and analytical skills.
• Excellent communication skills, with the ability to query providers and explain coding principles.
• Ability to work independently in a remote environment and meet deadlines.

Work Environment

• 100% Remote, with secure and HIPAA-compliant home office required.
• Flexible scheduling within standard business hours.
• Collaborative virtual team environment with direct access to Premier Medical leadership.

Job Type: Full-time

Pay: Rs50, Rs90,000.00 per month

Work Location: In person