Talent.com
Mercor
Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)Mercor • Casper, Wyoming, US
Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

Mercor • Casper, Wyoming, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description
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. **Responsibilities** - 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. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - 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 HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
Create a job alert for this search

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour) • Casper, Wyoming, US

Similar jobs

Consumer Research Associate (Remote)

GL IncCasper, Wyoming
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Product Tester – Remote

OCPACasper, Wyoming, US
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Show more

 • Promoted

Remote Building Code Compliance Expert

Micro1Casper, Wyoming, US
$50.00 hourly
Remote
Full-time

Building Code Compliance Expert.Plan review and blueprint reading.AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across ... Show more

 • Promoted

Travel CT Tech - $2504.57 / Week

Medical SolutionsCasper, WY, US
Full-time

Medical Solutions is seeking an experienced CT Tech for an exciting Travel Allied job in Casper, WY.Shift: Inquire Start Date: ASAP Duration: 13 weeks Pay: $2504.A facility in Casper, WY is seeking... Show more

 • Promoted

Remote Expert Contributor - Mechanical Engineering

Arise Virtual SolutionsCasper, Wyoming
Remote
Full-time

Expert Contributor - Mechanical Engineering.Task-Based Independent Contractor Opportunity.We're looking for Mechanical Engineering experts who can design and solve challenging, real-world reasoning... Show more

 • Promoted

Remote Product Tester - Flexible Studies

BuzzTestersMills, WY
Remote
Full-time

Earn up to $400/week, depending on the number and type of studies you complete.Share honest feedback on products and services from independent brands.Assignments include short online surveys (10–20... Show more

 • Promoted

Remote Biology Expert

Micro1Casper, Wyoming, US
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

 • Promoted

Online Consumer Research Participant

GL IncCasper, Wyoming
$15.00 hourly
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Consumer Opinion Research Participant

GL IncCasper, Wyoming
$15.00 hourly
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Remote Mathematics Expert (PhD) - $100+ per hour

Turing Casper, Wyoming
Remote
Full-time
Quick Apply

Remote contract for PhDs in Mathematics, Statistics, or related fields.Work on cutting-edge projects with top AI labs while earning $100+/hour, fully remote, with flexible weekly hours.Help fine-tu... Show more

 • Promoted

Remote Consumer Insights Participant

GL IncCasper, Wyoming
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Remote Expert Contributor - Language Specialist

Arise Virtual SolutionsCasper, Wyoming
Remote
Full-time

Expert Contributor - Language Specialist.Must be fluent in one of the following languages:.Bengali, Thai, Korean, Vietnamese or Chinese.Your expertise teaches tomorrow's AI.HALO by Arise connects s... Show more

 • Promoted

Work-From-Home Product Quality Assurance - $45 per hour

Great LionCasper, Wyoming
$45.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Remote Product Tester - $25-45 per hour

Online Consumer Panels AmericaCasper, Wyoming, US
$25.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Remote Product Tester - No Experience

OCPACasper, Wyoming, US
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home in the UK to fulfill upcoming contracts with local and international companies.We guarantee 15-25 hours per week with an hourly pay of between £18/hr.Th... Show more

 • Promoted

Remote Physics Expert (PhD) - $100+ per hour

Turing Casper, Wyoming
Remote
Full-time
Quick Apply

Remote contract for PhDs in Physics, Applied Physics, or related fields.Work on cutting-edge projects with top AI labs while earning $100+/hour, fully remote, with flexible weekly hours.Help fine-t... Show more

 • Promoted

Remote Consumer Research Participant

GL IncCasper, Wyoming
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Remote Chemistry Expert (PhD) - $100+ per hour

Turing Casper, Wyoming
Remote
Full-time
Quick Apply

Remote contract for PhDs in Chemistry, Chemical Engineering, or related fields.Work on cutting-edge projects with top AI labs while earning up to $100+/hour, fully remote, with flexible weekly hour... Show more

 • Promoted

Remote Research Panel Participant

GL IncCasper, Wyoming
$15.00 hourly
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more

 • Promoted

Remote Expert Contributor - Software Engineer

Arise Virtual SolutionsCasper, Wyoming
Remote
Full-time

Expert Contributor - Software Engineer.Task-Based Independent Contractor Opportunity.We're looking for engineers who can operate at an expert level across real-world, end-to-end tasks in terminal e... Show more