Risk Coder

Infinit-O is the trusted, customer-centric, and sustainable leader in Business Process Optimization. We empower finance and healthcare organizations to thrive in a digital-first world by combining specialized industry expertise and innovative technology for 20 years. We navigate complex industry landscapes to drive transformative outcomes, helping businesses streamline operations, enhance customer experience, and achieve sustainable growth backed by a world-class Net Promoter Score of 75. Our approach combines operational efficiency with a human-centered ethos, ensuring sustainable value creation for our clients and team members. As a Certified B Corporation, Infinit-O is committed to the highest standards of social and environmental performance, accountability, and transparency. We embed these values into every aspect of our operations—aligning business success with a positive impact on our clients, people, and communities. Our commitment to Diversity, Equity, and Inclusion (DEI) is integral to our mission. We believe that building inclusive, equitable teams is not only the right thing to do—it is also essential for driving innovation and better business outcomes. We actively promote equal opportunity through inclusive hiring practices, continuous learning programs, and regular equity assessments to ensure a fair and empowering workplace for all. Key Responsibilities: • Review and analyze patient medical records, including provider documentation, diagnostic reports, and treatment plans • Assign accurate ICD-10-CM diagnosis codes in compliance with CMS-HCC risk adjustment guidelines • Ensure all coded diagnoses are supported by appropriate clinical documentation • Identify gaps, inconsistencies, or missing documentation and initiate provider queries when necessary • Maintain compliance with CMS, Medicare Advantage, and internal coding policies • Meet established productivity, accuracy, and quality assurance benchmarks • Utilize electronic medical record (EMR) systems and risk adjustment coding tools effectively • Participate in internal and external audits, training, and continuous education initiatives • Collaborate with providers and internal teams to improve documentation quality and coding accuracy Requirements Required Qualifications: • Active CRC (Certified Risk Coder) certification • Strong working knowledge of ICD-10-CM and risk adjustment coding guidelines • Solid understanding of medical terminology, anatomy, and physiology • Excellent attention to detail with a strong commitment to accuracy and compliance • Ability to work independently and manage workload in a production-driven environment • Proficiency with EMR systems and standard computer applications • Effective written and verbal communication skills Preferred Qualifications • 1–2+ years of experience in risk adjustment or HCC coding • Experience with Medicare Advantage, CMS audits, or retrospective chart reviews • Prior remote coding experience • Familiarity with coding quality audits and compliance reviews