Remote IPA Risk-Adjustment Coding Consultant

DaMar Staffing; Town of Florida (NY); Hybrid; USD 59,000 - 81,000; Full time

Job summary

CenterWell Senior Primary Care is seeking an IPA Consultative Coding Professional to deliver medical coding expertise and consultative support to IPA affiliates nationwide. You will manage a panel of providers, ensure documentation supports accurate coding and risk adjustment, and collaborate with STARS leaders to identify gaps and opportunities.

The role involves education delivery, quarterly chart reviews, and ongoing support of coding tools and workflows across assigned providers and markets.

Qualifications

• 3+ years of risk adjustment medical coding or risk adjustment provider education.
• Intermediate/advanced competency with MS Office programs (Excel, Word, PowerPoint).
• Must be certified at least one of CCS, CRC, or CPC.
• Must reside and be able to travel within the assigned MSO market or region.

Responsibilities

• Be the primary contact for assigned IPA providers for coding and documentation inquiries.
• Deliver targeted education based on provider-specific trends and opportunities identified through chart reviews and coding analytics.
• Conduct quarterly chart reviews to evaluate coding accuracy and risk capture opportunities.
• Support daily operations of coding tools and assist providers with coding workflows and issues.

Skills

Risk adjustment medical coding

MS Office (Excel)

Education

CCS, CRC, or CPC certification

Job description

CenterWell Senior Primary Care is seeking an IPA Consultative Coding Professional to deliver medical coding expertise and consultative support to IPA affiliates nationwide. You will manage a panel of providers, ensure documentation supports accurate coding and risk adjustment, and collaborate with STARS leaders to identify gaps and opportunities.

The role involves education delivery, quarterly chart reviews, and ongoing support of coding tools and workflows across assigned providers and markets.