Risk Adjustment Coding Specialist

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

📋 Description

• Develop and/or assemble educational resources.

• Provide coding and documentation training to healthcare providers, clinic teams, and coding/billing personnel.

• Execute medical record evaluations for risk adjustment and essential quality metrics.

• Support initiatives aimed at performance enhancement.

• Conduct medical record assessments to verify risk adjustments.

• Ensure adherence to quality standards.

⛳️ Requirements

• High school diploma or its equivalent is mandatory.

• At least two (2) years of experience in a medical practice environment, specifically in clinic administration, operations, billing, coding, or medical records, OR two (2) years in a centralized billing department aiding primary care and/or specialty providers.

• AAPC or AHIMA coding credential must be obtained within one (1) year of employment.

• Capability to accurately assess and interpret ICD-9/10 coding documentation.

• Preferred experience with payer data, risk adjustment procedures, and quality reporting.

• Certification as a Risk Adjustment Coder (CRC) is preferred.

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

• One (1) year of experience in conducting chart audits within a medical setting is preferred.

• Availability for day shifts, including training sessions.

🏝️ Benefits

• Comprehensive benefits package.

• Competitive salary.

• Opportunities for both personal and professional development.

• Career advancement opportunities.

• Supportive and inclusive workplace environment.

• Commitment to diversity in the workplace.