Risk Adjustment / HCC Coding Leader
Medcruit →Risk Adjustment / HCC Coding Leader at Medcruit is a contract role based in Remote · United States-231 (remote). The listing states pay of $110–$110 and asks for 0–1 yrs of experience. Listed skills: HCC coding. It was published on 13 August 2026 and was open at last check.
| Role | Risk Adjustment / HCC Coding Leader |
|---|---|
| Company | Medcruit |
| Location | Remote · United States-231 (remote) |
| Employment type | Contract |
| Pay (as listed) | $110–$110 |
| Experience asked | 0–1 yrs |
| Skills listed | HCC coding |
| Published | 13 August 2026 |
| Status | Open at last check |
Risk Adjustment / HCC Coding Leader
Hourly Contract
Remote – United States
$110/hour
About the Role
We are seeking experienced Risk Adjustment and HCC Coding Leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness across Medicare Advantage, Medicaid managed care, and ACA markets.
The role requires expertise in HCC methodology, risk adjustment coding, RADV audit preparation, and clinical documentation.
Responsibilities
- Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs.
- Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
- Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
- Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
- Manage RADV audit preparation and response processes.
- Monitor risk adjustment KPIs, including HCC capture rates, risk score accuracy, and chart retrieval rates.
- Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.
- Ensure compliance with CMS risk adjustment guidelines, including RAPS and EDGE submissions, and Official Coding Guidelines.
- Annotate AI outputs and provide structured coding feedback to support AI training datasets.
Requirements
- 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, including at least 2 years in a leadership role.
- Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
- Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
- Experience with RADV audit preparation and CMS compliance requirements.
- Familiarity with RAPS and EDGE submission processes.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.
Preferred Qualifications
- CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
- Experience with risk adjustment analytics platforms and chart retrieval systems.
- Background in health plan, Medicare Advantage organization, or value-based care setting.
- Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
- Experience presenting risk adjustment performance to actuarial or executive teams.
Why Participate?
- Contribute to the development of AI systems in healthcare.
- Gain exposure to AI workflows in risk adjustment and value-based care.
- Work on projects focused on risk adjustment, coding, and healthcare AI.
Contract Details
- Position: Hourly Contract
- Location: Remote – United States
- Compensation: $110/hour
- Engagement: Independent contractor
- Schedule: Flexible
- Payment: Weekly
- H1-B/STEM OPT: Not supported
- Projects may be extended, shortened, or concluded early based on needs and performance.
Create a free OnJob profile to apply and see your AI match score before you apply. · Posted 13 Aug 2026.
Risk Adjustment / HCC Coding Leader at Medcruit — questions answered
What does the Risk Adjustment / HCC Coding Leader role at Medcruit pay?
The Risk Adjustment / HCC Coding Leader at Medcruit listing states pay of $110–$110 for the Remote · United States-231 (remote) position. That figure is taken directly from the employer's own posting as published, not estimated or averaged from other roles, and the same listing asks for 0–1 yrs of experience.
Is the Risk Adjustment / HCC Coding Leader role at Medcruit remote?
Yes — Medcruit advertises this Risk Adjustment / HCC Coding Leader role as remote, tied to Remote · United States-231, and it is listed as contract work. Remote terms come from the employer's own posting, so confirm the expected working hours, timezone and any on-site days with Medcruit before you apply.
What skills does the Risk Adjustment / HCC Coding Leader role at Medcruit require?
The Risk Adjustment / HCC Coding Leader at Medcruit listing names HCC coding. Those are the skills the employer put on the posting itself, so they are the ones worth matching in your profile and covering first in an interview.
How much experience do you need for the Risk Adjustment / HCC Coding Leader role at Medcruit?
Medcruit asks for 0–1 yrs of experience on this Risk Adjustment / HCC Coding Leader posting, alongside HCC coding. Employers commonly consider candidates slightly under a stated band when the listed skills line up.
Is the Risk Adjustment / HCC Coding Leader role at Medcruit still open?
The Risk Adjustment / HCC Coding Leader posting at Medcruit was open at OnJob's last check of the employer's careers page, having been published on 13 August 2026. OnJob re-checks source listings on each build and marks a role closed once it disappears, but listings can close without notice, so the employer's own page is the final word.
How do you apply for the Risk Adjustment / HCC Coding Leader role at Medcruit?
Apply to the Risk Adjustment / HCC Coding Leader at Medcruit role through OnJob with a free profile: OnJob scores your fit against the listing, shows the skills lowering that score, and submits an ATS-ready profile. Creating a profile is free and needs no card.
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