Remote Risk Adjustment Coding Specialist II — Education

Astrana Health Management; Monterey Park, Northern (CA, KY); Hybrid; USD 70,000 - 85,000; Full time

Job summary

Astrana Health seeks a Risk Adjustment Coding Specialist II to support the Houston market. You will review medical records to identify coding gaps, deliver education to providers, and track KPI metrics to improve program outcomes.

The role requires AAPC CPC/CRC certifications, 3+ years of risk adjustment experience, and travel to provider offices in the Houston area. Strong communication and auditing skills are essential.

Qualifications

• Must have 3+ years of risk adjustment coding/billing experience.
• Must hold AAPC CPC and CRC certifications.
• Ability to educate and train provider staff and audiences.

Responsibilities

• Review provider documentation to verify Medicare Advantage, ACA, and Commercial risk adjustment requirements.
• Identify HCC-related coding issues and provide education to providers.
• Perform code abstraction and coding quality audits ensuring ICD-10-CM codes are supported by documentation.

Skills

3+ years risk adjustment coding

Excellent presentation skills

Public speaking

Proficient with MS Word Excel Outlook

Education

AAPC CPC

AAPC CRC

CPB (APPC)

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Astrana Health seeks a Risk Adjustment Coding Specialist II to support the Houston market. You will review medical records to identify coding gaps, deliver education to providers, and track KPI metrics to improve program outcomes.

The role requires AAPC CPC/CRC certifications, 3+ years of risk adjustment experience, and travel to provider offices in the Houston area. Strong communication and auditing skills are essential.