Manager Risk Adjustment and Coding

Johns Hopkins Medicine; Maryland; Hybrid; USD 69,000 - 120,000; Full time

Job summary

Johns Hopkins Community Physicians in Baltimore, MD is seeking a Manager, Risk Adjustment and Coding to lead ambulatory risk adjustment, CDI, and coding optimization across a large health system. The role requires strategic oversight, education for providers, and implementation of the CCARES program to improve documentation and risk capture.

Working with clinical, operational, compliance, quality, and revenue cycle leaders, you will drive accurate documentation and continuous improvement in

Qualifications

• Bachelor's degree is required.
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) with advanced compliance/CDI/risk adjustment certification.
• Minimum 10 years progressive medical record coding and auditing experience.
• At least 4 years of management experience.
• Experience developing training programs to support provider documentation.

Responsibilities

• Provide strategic oversight of ambulatory risk adjustment and CDI.
• Lead coding optimization and complexity capture initiatives across ambulatory services.
• Develop and manage the CCARES program for acuity and risk adjustment.
• Collaborate with clinical, operational, compliance, quality, and revenue cycle leaders.
• Drive accurate documentation and continuous improvement in ambulatory care delivery.

Skills

Leadership

Medical coding

Training development

Compliance knowledge

Education

Bachelor's degree

CPC (AAPC) or CCS (AHIMA)

Advanced certifications (CPCO/CDIP/CRC)

Job description

Requisition #:677507 Location:Johns Hopkins Community Physicians, Baltimore, MD 21201 Category:Manager/Supervisor Schedule:Day Shift Employment Type:Full Time

Make it happen at HOPKINS! At Johns Hopkins Community Physicians (JHCP), we bring Johns Hopkins Medicine to our communities. With more than 40 locations throughout Maryland, Virginia, and Washington DC, we have opportunities for you to join our amazing team of healthcare professionals, right in your neighborhood.

The Manager, Risk Adjustment and Coding at Johns Hopkins Community Physicians is a dynamic leadership role responsible for strategic oversight of ambulatory risk adjustment, clinical documentation improvement (CDI), coding optimization, and complexity capture initiatives across ambulatory services in a large health system.

The Manager requires strong technical, analytical, and leadership skills to identify documentation, and coding improvement opportunities; assess provider education needs; and lead the development, implementation, and ongoing management of the CCARES (Complexity Capture and Acuity Recognition) program. Working collaboratively with clinical, operational, compliance, quality, and revenue cycle leaders, this role drives accurate documentation, appropriate risk adjustment, and continuous improvement in ambulatory care delivery.

Shift

• Full-time - Hybrid- Baltimore, MD

Requirements

• A Bachelor's degree is required.
• Currently certified in professional coding as demonstrated by either Certified Professional Coder (CPC from AAPC) or Certified Coding Specialist (CCS from AHIMA). The candidate must have at least one advanced certification in compliance, documentation improvement, or risk adjustment, such as Certified Professional Compliance Officer (CPCO, AAPC), Certified Documentation Improvement Practitioner (CDIP, AHIMA), Certified Risk Adjustment Coder (CRC, AAPC).
• Work requires a minimum of 10 years progressive medical record coding and auditing experience to include providing consultation and training to providers.
• At least four (4) years of management experience is required.
• Demonstrated experience developing training and education programs to support provider documentation requirements is required.

Salary Range: Minimum 49.81/hour - Maximum 87.18/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.