Coding Associate

IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. We empower teams to take control of their operations and improve outcomes for dual-eligible seniors- some of the most socially vulnerable and clinically complex individuals in the US healthcare system.

The Coding Associate is responsible for delivering high-quality, accurate risk adjustment coding services for Intus Care’s IRIS clients. This role is focused exclusively on coding workflows: reviewing medical records, identifying diagnosis codes, validating documentation and ensuring compliance with CMS-HCC and risk adjustment standards.

Risk Adjustment Coding

• Review medical records to assign all applicable diagnosis codes following , ICD-10-CM Official Guidelines, AHA Coding Clinic guidance, and IRIS internal coding policies.

• Document coding rationales clearly and consistently in accordance with IRIS standards.

• Maintain strict adherence to CMS requirements, audit preparedness, and risk adjustment integrity.

Quality & Compliance

• Maintain a coding accuracy score of 95% or higher, with a strong commitment to continuous quality improvement.

• Participate in internal audits, peer reviews, and periodic quality checks.

• Ensure compliance with documentation requirements, CMS risk adjustment standards, and RADV audit expectations.

• Flag documentation inconsistencies or incomplete provider documentation for clinical review.

Workflow & Productivity

• Complete assigned coding volumes within established productivity targets. Each Coding Associate should complete minimum 1000 encounters per month.

• Meet deadlines for all coding deliverables to ensure timely client reporting and monthly cycles.

• Utilize IntusCare’s IRIS tools, dashboards, and platforms to complete coding tasks efficiently and accurately.

• Follow structured workflows and escalate issues when documentation is unclear or unavailable.

Cross-Functional Collaboration

• Communicate coding questions or potential documentation improvements to the appropriate internal contacts (not directly to providers).

• Participate in team meetings to stay aligned on monthly cycles, product updates, and coding standards.

Required Certifications

• CPC, CCS, RHIT, or CRC (Certified Risk Adjustment Coder) required.

Experience

• Minimum 1-2 years of medical coding experience, preferably in risk adjustment or HCC coding.

Education

• High school diploma required; Associate’s or Bachelor’s degree preferred.

Skills & Competencies

• Strong knowledge of CMS-HCC models, diagnosis coding guidelines, and RAF scoring.

• High attention to detail and accuracy.

• Ability to work independently in a remote, deadline-driven environment.

• Proficiency with EMR/EHR systems and coding platforms.

• Strong written communication skills for documenting coding decisions.