Role Description We are sharing a specialised part-time consulting opportunity for United States-based healthcare coding and risk adjustment professionals experienced in: - HCC coding - Medicare Advantage risk adjustment - Medicaid managed care - ACA risk adjustment - RADV audit preparation - Medical record review - Documentation capture - Coding compliance This role supports current and upcoming remote consulting opportunities focused on: - AI-assisted risk adjustment coding evaluation - HCC recommendation review - Documentation completeness assessment - High-quality project execution Selected professionals will apply coding and risk adjustment expertise to: - Evaluate AI-generated HCC assignments - Review documentation support - Identify coding inaccuracies - Provide structured feedback based on detailed project criteria Qualifications - 5+ years of experience in risk adjustment coding, HCC coding, Medicare Advantage coding operations, or related healthcare coding workflows - At least 2 years of leadership experience in risk adjustment, HCC coding, coding quality, chart review, or coding operations - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies - Strong knowledge of ICD-10-CM coding guidelines as applied to risk adjustment and HCC documentation - Experience with RADV audit preparation, CMS compliance requirements, chart retrieval workflows, and risk adjustment quality review - Familiarity with RAPS and EDGE submission processes - Exceptional written and verbal English communication skills - High attention to detail and ability to identify coding inaccuracies, unsupported diagnoses, and documentation gaps in AI-generated outputs Requirements - Professional background in risk adjustment coding, HCC coding, medical coding, health information management, Medicare Advantage operations, managed care coding, value-based care, or coding compliance - Experience in health plans, Medicare Advantage organizations, Medicaid managed care organizations, provider groups, value-based care organizations, or coding vendor environments - Practical experience with chart review systems, coding platforms, risk adjustment analytics tools, EHR documentation, and audit workflows - Formal education or training in health information management, medical coding, healthcare administration, nursing, clinical documentation, or a related healthcare field Benefits - Apply HCC coding and risk adjustment expertise to structured remote healthcare project work - Contribute to high-quality AI-assisted risk adjustment coding and documentation review - Use coding leadership, audit preparation experience, and compliance judgment in a focused review environment - Work on flexible assignments aligned with Medicare Advantage, managed care, ACA risk adjustment, and value-based care expertise - Remote structure with competitive hourly compensation Contract Details - Independent contractor role - Fully remote with flexible scheduling - United States-based professionals are required for this opportunity - Part-time project-based commitment depending on availability, onboarding status, and project needs - Competitive rates of up to $85 per hour depending on risk adjustment experience, HCC coding expertise, leadership background, and project scope - Weekly payments via Stripe or Wise - Projects may be extended, shortened, or adjusted depending on scope and performance - Work will not involve access to confidential or proprietary information from any employer, client, or institution