DocGo
Title:
Associate, Medical Chart & Risk Adjustment
Employment Type:
Full-Time
Location:
685 Third Avenue 9th floor, New York, NY 10017 (on-site)
Hourly Range:
$33 - $39 per hour
Benefits:
Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k
About DocGo: DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.
Position Overview:
We're hiring a detail-oriented Medical Chart & Risk Adjustment Associate to support accurate risk recapture across Medicare Advantage, Medicaid managed care (state-specific models), and ACA/Exchange plans. You'll review charts, validate diagnoses in ICD-10-CM, identify missed or under-specified conditions, submit compliant provider queries, and deliver light provider/CDI education. Early-career candidate's welcome.
Key Responsibilities:
Perform prospective and retrospective chart reviews to validate and recapture HCCs using ICD-10-CM. Apply the correct model for each line of business: CMS-HCC (MA), HHS-HCC (ACA), and state Medicaid models (e.g., CDPS, ACG; training provided). Confirm documentation sufficiency (face-to-face DOS when required, acceptable provider, signature/credentials, and clinical support). Identify missed, unsupported, or under-specified diagnoses; draft and send clear, compliant provider queries. Prioritize annual recapture of chronic conditions; ensure needed specificity (type, stage, severity, complications). Support encounter data completeness and basic denial-prevention steps for each payer/state. Meet accuracy and productivity targets while maintaining strict HIPAA/PHI safeguards. Collaborate with clinicians, coding leadership, and CDI to resolve questions and standardize best practices. CDI Education:
Provide short, focused education (1:1, huddles) on common documentation gaps for Medicare and Medicaid populations (e.g., diabetes with complications, HF type, COPD, CKD stage; behavioral health and pregnancy-related conditions for Medicaid). CDI Education:
Create simple tip sheets and feedback notes from chart-review trends. CDI Education:
Close the loop with providers on query outcomes and recurring opportunities. Other tasks as assigned Qualifications:
1-3+ years medical coding (outpatient/professional) or formal risk-adjustment training; strong new grads encouraged. Associate's degree, Bachelor's degree, Foreign Medical Graduate (FMG), or higher Working knowledge of ICD-10-CM and core risk-adjustment concepts across Medicare, Medicaid, and ACA. Comfortable reading EHR notes and supporting documents (problem lists, consults, discharges). Clear written communication for provider queries and education. Preferred (not required): AAPC CRC®/CPC® or AHIMA coding credentials; familiarity with CDPS/ACG a plus. What Success Looks Like:
High coding accuracy/QA pass rate, timely throughput, improved provider documentation, fewer avoidable denials/rejections, and verified risk recapture across all lines of business (including Medicaid).
EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.
Associate, Medical Chart & Risk Adjustment
Employment Type:
Full-Time
Location:
685 Third Avenue 9th floor, New York, NY 10017 (on-site)
Hourly Range:
$33 - $39 per hour
Benefits:
Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k
About DocGo: DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.
Position Overview:
We're hiring a detail-oriented Medical Chart & Risk Adjustment Associate to support accurate risk recapture across Medicare Advantage, Medicaid managed care (state-specific models), and ACA/Exchange plans. You'll review charts, validate diagnoses in ICD-10-CM, identify missed or under-specified conditions, submit compliant provider queries, and deliver light provider/CDI education. Early-career candidate's welcome.
Key Responsibilities:
Perform prospective and retrospective chart reviews to validate and recapture HCCs using ICD-10-CM. Apply the correct model for each line of business: CMS-HCC (MA), HHS-HCC (ACA), and state Medicaid models (e.g., CDPS, ACG; training provided). Confirm documentation sufficiency (face-to-face DOS when required, acceptable provider, signature/credentials, and clinical support). Identify missed, unsupported, or under-specified diagnoses; draft and send clear, compliant provider queries. Prioritize annual recapture of chronic conditions; ensure needed specificity (type, stage, severity, complications). Support encounter data completeness and basic denial-prevention steps for each payer/state. Meet accuracy and productivity targets while maintaining strict HIPAA/PHI safeguards. Collaborate with clinicians, coding leadership, and CDI to resolve questions and standardize best practices. CDI Education:
Provide short, focused education (1:1, huddles) on common documentation gaps for Medicare and Medicaid populations (e.g., diabetes with complications, HF type, COPD, CKD stage; behavioral health and pregnancy-related conditions for Medicaid). CDI Education:
Create simple tip sheets and feedback notes from chart-review trends. CDI Education:
Close the loop with providers on query outcomes and recurring opportunities. Other tasks as assigned Qualifications:
1-3+ years medical coding (outpatient/professional) or formal risk-adjustment training; strong new grads encouraged. Associate's degree, Bachelor's degree, Foreign Medical Graduate (FMG), or higher Working knowledge of ICD-10-CM and core risk-adjustment concepts across Medicare, Medicaid, and ACA. Comfortable reading EHR notes and supporting documents (problem lists, consults, discharges). Clear written communication for provider queries and education. Preferred (not required): AAPC CRC®/CPC® or AHIMA coding credentials; familiarity with CDPS/ACG a plus. What Success Looks Like:
High coding accuracy/QA pass rate, timely throughput, improved provider documentation, fewer avoidable denials/rejections, and verified risk recapture across all lines of business (including Medicaid).
EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.