Duties:

• Validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews.
• Focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS.
• Applies clinical documentation standards and industry guidelines to support coding decisions.
• Contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

Experience/Requirements:

• Proficiency in ICD-10-CM coding with strong understanding of HCC risk adjustment.
• Attention to detail and accuracy in retrospective chart reviews.
• Familiarity with CMS coding guidelines and HIPAA-compliant data handling.
• Candidates must have experience working with Microsoft Office tools and industry-standard coding platforms.
• Prior experience in retrospective risk adjustment audits and validation is preferred.
• All audits must be performed in compliance with HIPAA privacy and security rules.
• AA/AS degree or equivalent experience is required.
• Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC) with a minimum of 3 years of relevant coding/audit experience.

Choice One Staffing Group offers medical, holiday pay, vacation pay, referral bonuses and pre-employment preparation. Choice One Staffing Group, Inc. is an equal opportunity employer that prohibits employment discrimination based on race, color, religion, sex, national origin and ancestry, individuals who are 40 years of age and older or qualified individuals with disabilities.