Risk Adjustment Coder II — HCC Audits & Travel

Astrana Health; California (MO); Hybrid; USD 70,000 - 85,000; Full time

Job summary

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Medicare Advantage, ACA, and Commercial coding initiatives. The role reports to the Sr. Manager - Risk Adjustment and requires frequent travel to provider sites.

Strong collaboration with physicians and staff is essential to ensure CMS guidelines are followed. Responsibilities include reviewing records for HCC coding, conducting audits, training staff, and providing process improvements.

Qualifications

• 3+ years experience in risk adjustment coding and/or billing required.

Responsibilities

• Review documentation to ensure Medicare Advantage, ACA, and Commercial risk adjustment requirements are met.

Skills

Communication skills

MS Office

Educate/train providers

Education

AAPC or AHIMA CCS/CPC

Tools

EHR systems

Microsoft Office

Job description

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Medicare Advantage, ACA, and Commercial coding initiatives. The role reports to the Sr. Manager - Risk Adjustment and requires frequent travel to provider sites.

Strong collaboration with physicians and staff is essential to ensure CMS guidelines are followed. Responsibilities include reviewing records for HCC coding, conducting audits, training staff, and providing process improvements.