Location: Remote
Type: Contract (Part-Time, ~10–15 hours per month)
Who We Are
At Advanced Care Specialists (ACS), we are building a proactive, team-based primary care model focused on managing patients with chronic and complex conditions. As we expand into value-based care, accurate risk adjustment and documentation are critical to both patient outcomes and long-term success.
Role Overview
We are seeking an experienced Risk Adjustment Coder / HCC Specialist to support our primary care team on a monthly contract basis.
This role will focus on chart review, HCC identification, and documentation improvement, while also helping us build scalable workflows for pre-visit planning and ongoing condition capture.
This is a high-impact, advisory + execution role, not a high-volume production coding job.
Key Responsibilities:
Chart Audits & HCC Identification
• Review patient charts to identify missed or under-documented HCC conditions
• Validate accuracy of current coding and documentation
• Ensure alignment with MEAT criteria (Monitor, Evaluate, Assess, Treat)
Risk Adjustment Optimization
• Highlight opportunities for improved specificity and condition capture
• Support annual HCC recapture strategies
• Provide insight into RAF optimization opportunities
Workflow Development & Support
• Collaborate with clinical team to improve:
• Pre-visit planning workflows
• Documentation habits
• HCC capture processes
• Help translate findings into repeatable systems, not just one-time audits
Provider & Staff Feedback
• Provide clear, actionable feedback to providers and staff
• Identify common documentation gaps and trends
• Support ongoing education around HCC and risk adjustment best practices
What We’re Looking For
Required:
• Strong experience in risk adjustment / HCC coding (outpatient/primary care)
• Deep understanding of MEAT criteria and RAF scoring
• Experience performing chart audits and documentation reviews
• Ability to communicate findings clearly to clinical teams
Preferred:
• Certification such as CPC or CRC (via AAPC)
• Experience working with Medicare Advantage or value-based care models
• Familiarity with eClinicalWorks (eCW) or similar EHRs
• Experience supporting workflow or process improvement (not just coding)
Additional
• Expected monthly commitment: 10–15 hours - this role can grow as our primary care volume increases
• Flexible schedule with async collaboration
Pay: From $85.00 per hour
Work Location: Remote