Associate, Medical Chart and Risk Adjustment

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.