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Risk-adjustment / HCC coding leader

$110
per hour
Hourly contract Remote Last verified 21 Jul 2026
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About the Role

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. Lead risk adjust

What You'll Do

  • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimisation.

You're a Good Fit If You

  • Relevant professional experience in this field.
  • Strong written communication skills.
  • Available for the stated weekly commitment.

Role Highlights

Pay
$110/h
Contract
Hourly contract
Location
Remote
Category
Coding
Posted
a month ago
Job ID
WE-6039

Pay & Payout

Independent contractor engagement, fully remote. Mercor pays weekly via Stripe or Wise.

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