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 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. 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. 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 a minimum of 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. Complete assigned coding volumes within established productivity targets. Each Coding Associate should complete a minimum of 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. 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.