Risk Adjustment Coding Specialist Remote

Trinity Health•Boise, ID

3d•Remote

About The Position

Saint Alphonsus Health System is seeking a full-time Risk Adjustment Coding Specialist to join its Population Health team. This is a fully remote position on a day shift schedule, including during training. The specialist creates and/or compiles educational materials and provides coding and documentation education to providers, clinic care teams, and coding and billing staff. The role may also include conducting medical record audits for risk adjustment and core quality measures, as well as assisting with other performance improvement initiatives.

Requirements

High school diploma or equivalent.
At least two years of experience in a medical practice setting involving clinic administration, operations, billing, coding, or medical records, or two years of experience in a centralized billing department supporting primary care and/or specialty providers.
AAPC or AHIMA coding credential required within one year of hire.
Ability to accurately review and interpret ICD-9/10 coding documentation.

Nice To Haves

Associate's degree, bachelor's degree, or some college coursework.
Experience working with payer data, risk adjustment processes, and quality reporting.
Certified Risk Adjustment Coder (CRC) credential.
Experience with Electronic Health Records (EHR).
One year of experience performing chart audits in a medical environment.

Responsibilities

Create and/or compile educational materials.
Conduct coding and documentation education for providers, clinic care teams, and coding and billing staff.
Conduct medical record audits for risk adjustment and core quality measures, as needed.
Assist with performance improvement initiatives.
Review medical records to support risk adjustment and ensure quality measures.