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What Is a Remote Risk Adjustment Coder and How to Become One

Remote Risk Adjustment Coder

What Does a Remote Risk Adjustment Coder Do?

As a remote risk adjustment coder, your duties and responsibilities involve performing medical coding and reviewing medical codes for adherence to risk adjustment models. Employers may also expect you to audit medical record data to ensure accuracy. In this role, you work from home to apply codes and make assessments according to regulations and your employer’s operational policies. You also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

How to Become a Remote Risk Adjustment Coder

The qualifications and skills that you need to become a remote risk adjustment coder include knowledge of healthcare coding and specialized certification and training in risk adjustment coding. This virtual career requires a strong grasp of medical coding and Hierarchical Condition Categories (HCC). Medical coders can earn a degree or certification in medical coding from a community or technical college. However, this position requires additional accreditation as a Certified Risk Adjustment Coder (CRC). Certification requires passing an exam, and the American Association of Professional Coders suggests earning an associate degree in medical coding as well.