Intus
Coding Associate
4mo ago
USARemoteicd-10cms compliance
Responsible for delivering high-quality, accurate risk adjustment coding services, reviewing medical records and ensuring compliance with CMS-HCC and risk adjustment standards.
Responsibilities
- Risk Adjustment Coding
- • Review medical records to assign all applicable diagnosis codes following , ICD-10-CM Official Guidelines, AHA Coding Clinic guidance, and IRIS internal coding policies.
- • Document coding rationales clearly and consistently in accordance with IRIS standards.
- • Maintain strict adherence to CMS requirements, audit preparedness, and risk adjustment integrity.
- Quality & Compliance
- • Maintain a coding accuracy score of 95% or higher, with a strong commitment to continuous quality improvement.
- • Participate in internal audits, peer reviews, and periodic quality checks.
- • Ensure compliance with documentation requirements, CMS risk adjustment standards, and RADV audit expectations.
- • Flag documentation inconsistencies or incomplete provider documentation for clinical review.
- Workflow & Productivity
- • Complete assigned coding volumes within established productivity targets. Each Coding Associate should complete minimum 1000 encounters per month.
- • Meet deadlines for all coding deliverables to ensure timely client reporting and monthly cycles.
- • Utilize IntusCare’s IRIS tools, dashboards, and platforms to complete coding tasks efficiently and accurately.
- • Follow structured workflows and escalate issues when documentation is unclear or unavailable.
- Cross-Functional Collaboration
- • Communicate coding questions or potential documentation improvements to the appropriate internal contacts (not directly to providers).
- • Participate in team meetings to stay aligned on monthly cycles, product updates, and coding standards.
Requirements
- Required Certifications
- • CPC, CCS, RHIT, or CRC (Certified Risk Adjustment Coder) required.
- Experience
- • Minimum 1-2 years of medical coding experience, preferably in risk adjustment or HCC coding.
- Education
- • High school diploma required; Associate’s or Bachelor’s degree preferred.
- Skills & Competencies
- • Strong knowledge of CMS-HCC models, diagnosis coding guidelines, and RAF scoring.
- • High attention to detail and accuracy.
- • Ability to work independently in a remote, deadline-driven environment.
- • Proficiency with EMR/EHR systems and coding platforms.
- • Strong written communication skills for documenting coding decisions.
Conditions
- A chance to be part of a trailblazing team in healthcare technology
- Competitive salary package
- Comprehensive benefits including health, dental, and vision insurance
- A collaborative, inclusive, and dynamic work environment
- Opportunities for professional growth and development
- Compensation : The base salary range for this role is $55-60K. We expect the ideal candidate to fall near the midpoint of this range, though final compensation will be determined based on experience, skills, and organizational needs. Final compensation will also include a variable component and stock options.
- Work location: This is a fully remote role based in the United States.
- Sponsorship: This position is not eligible for sponsorship.
Other
- IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. We empower teams to take control of their operations and improve outcomes for dual-eligible seniors- some of the most socially vulnerable and clinically complex individuals in the US healthcare system.
- The Coding Associate is responsible for delivering high-quality, accurate risk adjustment coding services for Intus Care’s IRIS clients. This role is focused exclusively on coding workflows: reviewing medical records, identifying diagnosis codes, validating documentation and ensuring compliance with CMS-HCC and risk adjustment standards.