Risk Adjustment Coding Specialist
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Job Description
Risk adjustment coding specialist supporting population health at Saint Alphonsus Health System. Conducting coding education, medical record audits, and quality measure improvement remotely.
Responsibilities:
- Create and/or compile educational materials
- Conduct coding and documentation education with providers, clinic care teams, and coding/billing staff
- Conduct medical record audits for risk adjustment and core quality measures
- Assist with performance improvement initiatives
- Review medical records to ensure risk adjustments
- Ensure quality measures
Requirements:
- High school diploma or equivalent required
- Associate's degree, Bachelor's degree, or some college coursework preferred
- Minimum of two (2) years of experience working in a medical practice setting with involvement in clinic administration, operations, billing, coding, or medical records OR two (2) years of experience in a centralized billing department supporting primary care and/or specialty providers
- AAPC or AHIMA coding credential required within one (1) year of hire
- Ability to accurately review and interpret ICD-9/10 coding documentation
- Experience working with payer data, risk adjustment processes, and quality reporting preferred
- Certified Risk Adjustment Coder (CRC) credential preferred
- Experience with Electronic Health Records (EHR) preferred
- One (1) year of experience performing chart audits in a medical environment preferred
Benefits:
- Competitive compensation
- Full benefits package
- Opportunities for personal and professional growth
- Career development opportunities
- Opportunities for growth throughout SAHS and Trinity Health
- Inclusive work environment
- Equal opportunity employment
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