Adjustment Coding Specialist (Part-Time)

Greater Good Health

Greater Good Health

Remote
USD 30-45 / hour
Posted on Dec 24, 2025
Position: Adjustment Coding Specialist (Part-Time)
Location: Remote
Remote Status: Remote
Job Id: 489
# of Openings: 1

Remote Status: Remote
Job Title: Adjustment Coding Specialist
Job Location: Remote, Part-Time

Company Description
Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not volume—meaning we prioritize quality over quantity, spend more time with our patients, and are accountable for their health and well-being.

Whether through our own senior-focused primary care clinics or our suite of integrated clinical solutions for health plans and provider groups, we are making value-based care more accessible and more effective. We help reduce avoidable healthcare costs, improve clinical outcomes, and create a best-in-class patient experience.

If you're passionate about transforming healthcare and delivering meaningful care to those who need it most, Greater Good Health offers a purpose-driven, collaborative, and supportive environment where your work can make a lasting impact.

The Role
The Risk Adjustment Coding Specialist is responsible for ensuring accurate and compliant Medicare risk adjustment coding across a Medicare-focused primary care model. This role supports coding integrity, documentation accuracy, and consistent risk capture through chart reviews, coding audits, and provider-facing guidance.

Partnering closely with Revenue Cycle, Clinical Operations, and Clinical Performance, the specialist reviews clinical documentation, resolves coding and documentation queries, and provides clear, actionable guidance to support compliant risk adjustment practices and reduce audit risk.

This role also supports the development and maintenance of coding audit processes, documentation standards, and educational materials, while monitoring regulatory updates and coding trends that impact Medicare risk adjustment performance.

The ideal candidate brings deep expertise in Medicare risk adjustment and outpatient documentation, with the ability to apply coding requirements within real-world clinical workflows to balance compliance, efficiency, and scalability.

Responsibilities
  • Design and execute formal coding audits to ensure CPT and diagnosis coding are compliant and fully supported by clinical documentation
  • Audit a defined percentage of random charts quarterly and summarize findings, trends, risks, and recommendations
  • Identify documentation gaps, education opportunities, and compliance concerns; support escalation and remediation efforts as needed
  • Partner with Revenue Cycle to support claim corrections, rebilling, and documentation follow-up
  • Assist with coding research for new or evolving CPTs and services, including documentation and billing requirements and Medicare reimbursement considerations
  • Support resolution of coding and documentation queries, collaborating with providers to amend documentation where appropriate
  • Develop coding and documentation education content for Nurse Practitioners and clinical teams, informed by audit findings and recurring themes
  • Support Care Services leadership with open condition management and risk adjustment workflows, including light reporting or review as needed
  • Monitor and report on changes in the coding and risk adjustment landscape, including new, revised, or retired codes and regulatory guidance
  • Help formalize coding-related processes and documentation suitable for internal policies and compliance reference
Experience and Qualifications
  • Certified Risk Adjustment Coder (CRC or equivalent) required
  • Medicare risk adjustment experience required
  • Experience in outpatient clinic and/or primary care settings
  • Strong knowledge of ICD-10-CM coding guidelines, HCC models, and Medicare documentation requirements
  • Experience supporting or participating in coding audits or compliance reviews preferred
  • Value-Based Care (VBC) experience preferred
  • Strong communication skills with the ability to translate coding guidance for clinical, operational, and finance stakeholders
  • Comfortable working independently in a part-time or contractor capacity
  • Other duties as assigned
Perks and Benefits
  • Competitive Compensation Package: We offer a competitive compensation package to recognize your valuable contributions and ensure your financial security
  • 401K Program with Company Match: Plan for your future with our 401K program, featuring a company match, to help you save for retirement
  • Paid Time Off: Enjoy paid holidays, vacation time, and paid parental leave to maintain a healthy work-life balance and spend quality time with your loved ones.
  • Monthly Phone/Internet Reimbursement: Stay connected with our monthly phone and internet reimbursement, ensuring you have the tools you need to excel in your role.
Don’t check off every box in the requirements listed above? Please apply anyway! Studies have shown that marginalized communities - such as women, LGBTQ+ and people of color - are less likely to apply to jobs unless they meet every single qualification. GGH is dedicated to building an inclusive, diverse, equitable, and accessible workplace that fosters a sense of belonging – so if you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, we encourage you to still consider applying. You may be just the right candidate for this role or another one of our openings!

Pay Range: $30 - $45 per hour
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