Risk Adjustment Coder at AltaMed Health Services in Montebello, California

disABLEDperson Inc; Montebello (CA); On-site; USD 36,000 - 45,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement savings plans withem

Flexible Spending Accounts

Commuter Flexible Spending

Career Advancement & Development

Paid Time Off & Holidays

Paid CME Days

Malpractice insurance and tailcoverage

Tuition Reimbursement Program

Corporate Employee Discounts

Employee Referral Bonus Program

Pet Care Insurance

Job summary

AltaMed Health Services Corp. in Montebello, CA seeks a Risk Adjustment Coder to conduct concurrent, prospective, and retrospective reviews of ambulatory records to ensure accurate coding of diagnosis, severity, and complexity.

You will validate data quality, support audits, and align documentation with Medicare/Medicaid guidelines. The ideal candidate has 2+ years in risk adjustment coding or auditing, EHR/EMR navigation skills, and certifications such as CRC, CPC, or CCS/CCS-P.

Qualifications

• 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.
• Certification: CRC, CPC, or CCS/CCS-P. If without CRC, certification must be obtained within the first year of employment.
• Prior experience with Medicare Managed Care (Medicare Advantage) preferred.

Responsibilities

• Conduct concurrent, prospective, and retrospective reviews of ambulatory medical record documentation to ensure accurate coding of diagnosis, severity of illness, and patient complexity.
• Evaluate the accuracy and consistency of coded clinical data quality results and reports in compliance with applicable regulations.
• Assist in developing, presenting, and disseminating provider communications related to clinical documentation.
• Support audits and process improvements to align documentation with coding guidelines.

Skills

Risk adjustment coding

Auditing experience

EHR/EMR navigation

Education

High School Diploma

Job description

Risk Adjustment Coder

Location: Montebello, CA 90640

Job Overview

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.

Minimum Requirements

• 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.

Compensation

$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

Job Advertisement & Application Compliance Statement

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.

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.

We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community. We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.

Equal employment opportunity, including veterans and individuals with disabilities.