Medical Coder

Medical Coder - Risk Adjustment Program Manager (RADV)

Radost Solutions | Remote (EST) | Contract Position

Company Overview

Radost Solutions is a growing consulting firm based in Portland, Oregon, specializing in innovative solutions for complex business challenges within the healthcare industry. We are dedicated to delivering exceptional service and expertise to our clients, connecting qualified professionals with meaningful opportunities in healthcare technology and clinical settings. Learn more about us at .

Position Summary

We are seeking an experienced Medical Coder specializing in Risk Adjustment and RADV (Risk Adjustment Data Validation) audits to support our healthcare clients. This remote position requires EST availability with a 7:00 AM EST start time and demands a detail-oriented professional committed to maintaining the highest coding accuracy standards.

This role is not open to C2C or C2H arrangements. This role is only open to people working and living in the US legally.

Essential Requirements

• RADV experience is mandatory
• Minimum 7 years of coding experience with at least 5 years in Risk Adjustment coding
• Current core coding credentials through AHIMA or AAPC (RHIT, CCS, CCS-P, CPC, CIC)
• AAPC CRC (Certified Risk Adjustment Coder) certification is highly recommended
• Completion of an accredited medical coding program with current unencumbered credentials
• Encoder or coding book required for interview - skill assessment will be administered during the interview process
• Ability to maintain 95% accuracy rate on all coding projects
• Private, lockable office space to ensure security of Member PHI

Key Responsibilities

• Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation, primarily for QHP (RADV) projects
• Code government and state models, including "code everything" projects
• Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations
• Conduct code abstraction and coding quality audits using Official Coding Guidelines for ICD-9-CM/ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, and client policies and procedures

Required Qualifications

Technical Skills:

• High level of competence in basic computer skills, Microsoft Outlook, Word, and Excel
• Ability to work independently in a remote environment
• Strong organizational skills
• Reliable high-speed internet and professional home office setup

Professional Skills:

• Strong written and verbal communication skills
• Demonstrated stability in employment history (past temporary assignments acceptable, but preference for candidates with extended tenure with previous employers)
• Team player mindset: flexible, adaptable, and detail-oriented

Supervision: General supervision provided weekly

Work Environment

• Fully remote position
• Fast-paced environment requiring adaptability and attention to detail
• Collaborative environment working with healthcare clients
• EST time zone schedule with 7:00 AM EST start time

Benefits

• Competitive hourly compensation
• 401(k) retirement plan
• Health insurance stipend
• Paid Time Off
• Paid Holidays
• Professional development opportunities

Application Requirements

Qualified candidates must:

• Be legally authorized to work in the United States
• Have reliable high-speed internet and professional home office setup
• Be available for full-time engagement
• Have encoder or coding book available for interview - coding skill assessment will be administered

Pay: From $25.00 per hour

Benefits:

• 401(k)
• Paid time off

Application Question(s):

• Do you have RADV experience?
• Do you have a minimum of 7 years of coding with at least 5 years in Risk Adjustment coding?

Work Location: Remote