Coding Associate
About IntusCare
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 IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management.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.
Role Overview
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.
Key Responsibilities
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.
Qualifications
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.
What We Offer
A chance to be part of a trailblazing team in healthcare technology
Competitive salary package
Comprehensive benefits including health, dental, and vision insurance
A collaborative, inclusive, and dynamic work environment
Opportunities for professional growth and development
Compensation: The base salary range for this role is $55-60K. We expect the ideal candidate to fall near the midpoint of this range, though final compensation will be determined based on experience, skills, and organizational needs. Final compensation will also include a variable component and stock options.
Work location: This is a fully remote role based in the United States.
Sponsorship: This position is not eligible for sponsorship.