Risk Adjustment Coding Specialist

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

📋 Description

• Develop and/or assemble educational resources.

• Deliver coding and documentation training to providers, clinic care teams, and billing/coding personnel.

• Perform medical record audits for risk adjustment and essential quality measures.

• Support performance improvement initiatives.

• Execute medical record audits to confirm risk adjustments.

• Ensure adherence to quality measures.

⛳️ Requirements

• High school diploma or equivalent is mandatory.

• An Associate's degree, Bachelor's degree, or some college coursework is preferred.

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

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

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

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

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

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

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

• Availability to work a day shift schedule, including training sessions.

🏝️ Benefits

• Comprehensive benefits package.

• Competitive salary.

• Opportunities for both personal and professional development.

• Career advancement opportunities.

• Prospects for growth within Saint Alphonsus Health System and Trinity Health.

• Supportive and inclusive workplace environment.

• Commitment to equal opportunity employment.