Risk Adjustment Coder

AltaMed; Montebello (CA); Presencial; USD 36.000 - 45.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical Insurance

Dental and Vision Insurance

403(b) Retirement Savings Plan

Flexible Spending Accounts

Paid Time Off & Holidays

CME Days

Descripción de la vacante

AltaMed Health Services Corp. in Montebello, CA is seeking a Risk Adjustment Coder to perform concurrent, prospective, and retrospective reviews of ambulatory medical records to ensure accurate and complete capture of illness severity and patient complexity.

The role requires a High School Diploma and at least 2 years of risk adjustment coding or auditing, with EHR/EMR experience. Candidates should hold CRC, CPC, or CCS/CCS-P, or commit to certification within the first year.

Formación

• Minimum 2 years risk adjustment coding or auditing experience.
• Experience with EHR/EMR systems.
• CRC, CPC, or CCS/CCS-P certification required or pursued within first year.

Responsabilidades

• Review ambulatory medical records for accurate coding and data quality.
• Participate in provider communication and education related to clinical documentation.

Conocimientos

Risk adjustment coding

EHR/EMR navigation

Educación

High School Diploma

Descripción del empleo

AltaMed Health Services Corp.If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.

The Coder, Risk Adjustment position provides a thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient. The Risk Adjustment Coder is responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports following all applicable federal, state, and county regulations/laws related to coding, auditing, and clinical documentation guidelines for the various risk adjustment models. May participate in developing, presenting, and disseminating provider communication and other activities related to clinical documentation.

High School Diploma required. A minimum of 2 years of risk adjustment coding and/or auditing experience is required. Electronic health record (EHR)/medical records (EMR) experience with the ability to navigate a variety of EHRs/EMRs. Candidates must have one of the following certifications: Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS, CCS-P). Candidates hired without CRC certification must obtain certification within the first year of employment. Prior experience with Medicare Managed Care (Medicare Advantage) preferred.

$26.33 - $32.91 hourly. Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.