Medical Risk Adjustment Specialist (Coder)

Please only submit an application if you live in one of these states: FL, VA, TX, NY, MO

About Us

At Greenbrook Medical, we believe seniors deserve more from the healthcare system—more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents.

Founded by two brothers inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume—so we only succeed when our patients thrive.

With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking the best care of our patients.

About the Role

Greenbrook Medical is looking to hire a full-time Medical Risk Adjustment Specialist for our growing primary care organization that serves Medicare Advantage beneficiaries! Have you been searching for a healthcare company that will value your skills? You might just be a perfect fit for this position if you thrive in a fast-paced, exciting culture that emphasizes teamwork, integrity, and compassion for the patients we serve.

Compensation

Compensation range: $33-$36 per hour with a generous annual performance bonus.

At Greenbrook Medical, we value fair and equitable pay. Your salary within this range will be based on your relevant, transferable experience and professional achievements.

Location: Remote within FL, VA, TX, NY, MO (must be located in these states to be eligible)

Typical Hours: Monday through Friday, 8am - 5pm

Key Responsibilities

• Utilizes ICD-10, CPT and HCPCS codes for reporting diagnoses and procedures.
• Maintains performance and quality by conducting ongoing audits of physicians' medical records to ensure that submitted ICD-10-CM codes are fully supported by the clinical documentation.
• Assigns all potential HEDIS-allowable codes for appropriate services to be captured.
• Ensures progress notes are coded accurately and to the highest level of specificity following established coding guidelines. Ability to abstract valid codes from hospital claims data, radiology reports, and specialist provider notes.
• Reviews and completes system generated reports to correct or complete missing data as requested.
• Analyzes MRA reports to identify and confirm unreported and/or unresolved medical conditions of members based on supportive medical documentation.
• Effectively communicates the audit process and results to appropriate management, and assist senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met, and operational efficiency can be achieved.
• Queries the physician for clarification and to obtain accurate and complete documentation as needed.
• Enhances and maintains coding knowledge and skills.
• Provides feedback and problem solves coding issues with the team.
• Maintains patient confidentiality at all times, according to legal requirements and privacy laws. Follows established policies and procedures.
• Educates providers on HCC Coding and clinical documentation requirements related to risk adjustment.
• Supports ongoing review and query process to ensure that any amendment occurs in a timely and compliant manner.
• Effectively manages special projects and other tasks as assigned.
• Actively participates in team and departmental meetings to stay aligned on goals, share insights, and support continuous improvement.
• Collaborates effectively with colleagues across teams and departments to achieve shared objectives and foster a positive, team-oriented work environment.

Accountabilities

• Deliver consistent chart review accuracy of 95% or higher, ensuring exceptional attention to clinical detail and coding precision.
• Complete 40–50 medical charts daily with efficiency and accuracy, contributing to timely and high-quality risk adjustment outcomes.

About You

• Experience:
• • Certified Professional Coder (CPC) required, Certified Risk Adjustment Coder (CRC) certification strongly preferred
  • Ideal candidates must have at least 3 years of experience with risk adjustment or HCC coding
  • Minimum three-years of coding experience using ICD-10
  • Minimum 1 year of experience with HEDIS/Stars
• Education:
• • Minimum High School degree or equivalent; College or Associate degree preferred
• Skills:
• • Advanced knowledge of medical codes, terminology, abbreviations, anatomy & physiology, major disease, pharmacology and metric system.
  • Intermediate level of proficiency in MS Office - Excel, PowerPoint, and Word
  • Strong organizational skills in multiple settings, as well as the ability to exercise judgment and initiative.
  • Ability to defend coding decisions to both internal and external audits.
  • Ability to work in a continuously changing environment.
• Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork.

Why You Should be Excited

• Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care.
• Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors.
• Growth: We're building more than a company - we're building careers. As we grow, we're creating meaningful opportunities for you to expand your skills, take on new challenges, and shape your path forward.
• Compensation & Benefits: Competitive base compensation and generous commission, paid time off, health, dental and vision benefits, and 401K with a company match.

Our Selection Process

Our selection process typically includes an online application, initial interview, second round interview, values interview, and reference check.

Equal Employment Opportunity and Commitment to Diversity

At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost.

We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at recruiting@greenbrookmedical.com.