Risk Adjustment Coding and Training Specialist

CommonSpirit Health; Bakersfield (CA); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Risk Adjustment Coding and Training Specialist to develop training programs for value-based coding. This remote role involves ensuring coding accuracy and compliance while optimizing financial stability in health operations.

Qualifications

• 3-5 years of experience with risk adjustment coding and/or medical coding.
• Bachelor’s degree or equivalent experience in a related field.

Responsibilities

• Develops and delivers training programs for value-based coders.
• Ensures coding accuracy and compliance with regulatory guidelines.

Skills

risk adjustment coding

medical coding

ICD-10 coding

Microsoft Office

Education

Bachelor’s degree

Certified Professional Coder (CPC)

Tools

Excel

Word

Outlook

PowerPoint

Google applications

Job description

Risk Adjustment Coding and Training Specialist

Join to apply for the Risk Adjustment Coding and Training Specialist role at CommonSpirit Health.

Position Summary
The Risk Adjustment Coding Training Specialist develops and executes comprehensive training programs focused on value-based risk adjustment coding. This role ensures that clinicians and value-based coders within the Population Health Services Organization (PHSO) are proficient in accurate documentation of patient diagnoses and coding practices, aligning with local and regional regulatory requirements and organizational standards. Travels to provider offices when necessary.

Responsibilities

• This position is remote.

The Risk Adjustment Coding and Training Specialist is responsible for developing and delivering a robust curriculum focused on keeping value-based coder(s) abreast of the latest industry and regulatory guidelines, as well as ensuring continuous improvement to maximize reimbursement from health plan payors.

The role reports directly to the Risk Adjustment Population Health Director and plays a critical role in optimizing coding accuracy, enhancing compliance, and ensuring financial stability and profitability of the PHSO value-based operations and programs.

Qualifications

Minimum Qualifications

• 3-5 years of experience with risk adjustment coding and/or medical coding
• Bachelor’s degree or equivalent experience in a related field
• Certified Professional Coder (CPC) certification
• Advanced knowledge of ICD-10 coding and HCCs
• Extensive knowledge of Microsoft Office applications; Excel, Word, Outlook, PowerPoint, and Google applications

Preferred Qualifications

• Experience working in a value-based care program
• Experience in developing and delivering training programs in a healthcare setting