Senior Risk Adjustment Coder, Provider Enablement (Remote)

This individual will play a critical role in reviewing, auditing, and analyzing outpatient clinical documentation from external provider partners, ensuring accurate and complete coding of risk-adjustable conditions. You will work alongside our educators and managers to translate chart insights into feedback that improves documentation quality, supports proper reimbursement, and enables provider performance in risk-bearing arrangements. You will conduct retrospective risk adjustment chart reviews for shared Homeward-patient encounters using CMS-HCC and ICD-10-CM guidelines, ensuring that all diagnosis codes submitted are fully supported by the medical record and documentation is complete, accurate, and compliant. You will identify trends in missed coding opportunities and support supplemental file preparation and reconciliation efforts with payer partners. You will also maintain expertise in CMS risk adjustment policies and coding guidelines.