Astrana Health

A healthcare organization is seeking a Quality Risk Adjustment Coder to join their team. This role focuses on verifying coding and documentation for Medicare Advantage and ACA. The successful candidate will travel frequently and requires certifications such as CCS or CPC. Strong communication skills and coding knowledge are necessary. The position offers a hybrid work environment, involving both fieldwork and office responsibilities, with an annual salary ranging from $75,000 to $85,000. #J-18808-Ljbffr

Quality Risk Adjustment Coder (San Gabriel Valley, CA) Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $75,000 - $85,000 / year Department: Quality - Risk Adjustment About the Role We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. The staff is required to frequently travel to provider sites depending on projects. What You’ll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACA) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company. Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter...