Risk Adjustment Coding Specialist

This is a fully remote position, open to applicants in Idaho.

📋 Description

• Develop and/or assemble educational resources.

• Provide education on coding and documentation to providers, clinic care teams, and coding/billing personnel.

• Perform audits of medical records to evaluate risk adjustment and core quality metrics.

• Support performance enhancement initiatives.

• Examine medical records to verify risk adjustments.

• Ensure compliance with quality measures.

⛳️ Requirements

• A high school diploma or equivalent is required.

• An associate's degree, bachelor's degree, or some college coursework is preferred.

• A minimum of two (2) years of experience in a medical practice environment, involving 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.

• An AAPC or AHIMA coding credential is required within one (1) year of hire.

• Proficiency in accurately reviewing and interpreting ICD-9/10 coding documentation.

• Experience with payer data, risk adjustment processes, and quality reporting is preferred.

• Certified Risk Adjustment Coder (CRC) credential is preferred.

• Familiarity with Electronic Health Records (EHR) is preferred.

• At least one (1) year of experience conducting chart audits in a healthcare setting is preferred.

🏝️ Benefits

• Competitive salary.

• Comprehensive benefits package.

• Opportunities for personal and professional development.

• Career advancement prospects.

• Opportunities for growth within SAHS and Trinity Health.

• An inclusive workplace culture.

• Equal opportunity employer.