Community Care Cooperative·Boston, Massachusetts
The Certified Risk Coder will perform retrospective and prospective risk coding reviews and provide training for outpatient primary care practices. They will ensure accurate documentation and risk adjustment for patient care through collaboration with various teams.
Title: Certified Risk Coder
Reports to: Manager, Risk Coding
Classification: Individual Contributor
Location: Boston (Remote)
revision number and date: 2.0, 01.06.2025
Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.
The Certified Risk Coder will be a part of an emerging coding team and coding service that performs retrospective and prospective risk coding reviews and completes provider training for a group of outpatient primary care practices across Massachusetts.
In so doing, the Certified Risk Coder will use knowledge of appropriate coding, combined expertise in claims submission processes to improve the accuracy of documentation.
This work ultimately leads to a greater understanding of the patient’s complexity while ensuring accurate risk adjustment for patient care.
The Certified Risk Coder has experience in risk adjustment, outpatient primary care and/or behavioral health condition coding, billing compliance, and coding quality assurance protocols.
The person in this role will report to the Manager, Risk Coding, and interface with an internal team of Practice Transformation Managers, as well as staff at FQHCs.
• Certified Risk Coding (CRC) Certification through AAPC required
Candidates must have 0-5 years of risk coding and medical billing experience, with knowledge of medical terminology and electronic health record systems. A Certified Risk Coding (CRC) Certification through AAPC is required.
Market context
Risk coder openings in Massachusetts often favor candidates with medical billing experience, EHR familiarity, and strong medical terminology knowledge, especially when CRC certification is required. Competition can be tighter for applicants who already understand risk adjustment workflows and can document accurately under coding standards. Review the AI-summarized requirements and benefits on this platform to save time, then confirm your CRC credentials and tailor your resume to show coding and billing experience.
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