To support the Burden of Illness department, the full-time Risk Adjustment Coding Specialist will perform medical record reviews, validate ICD-10-CM codes, and collaborate with healthcare providers to ensure accurate documentation and coding in a remote setting. Key responsibilities Perform prospective medical record reviews for clinical indicators and present findings to clinicians Validate and review ICD-10-CM diagnosis codes in real time prior to claim submission Conduct retrospective audits of medical records to ensure accuracy and completeness of diagnosis coding Required qualifications Proven experience in risk adjustment coding and medical record review Strong knowledge of ICD-10-CM coding guidelines and Medicare regulations Ability to maintain a coding accuracy rate of 95% or higher Experience in conducting coding education and training for staff Familiarity with data analysis and reporting in healthcare settings