Risk Adjustment Coding Coordinator (onsite), full time, days

Holland Hospital; United States; On-site; USD 32,000 - 48,000; Full time

Job summary

Holland Hospital is seeking a Coordinator to support HCC coding risk adjustment initiatives across value-based care contracts. You will prepare medical records, review documentation, ensure accurate ICD-10-CM coding, and educate providers.

The role partners with clinicians, coding teams and leadership to optimize HCC capture and documentation integrity. Qualifications include CPA/C-CPC certification, or CRC within 12 months, and strong communication skills for stakeholder collaboration.

Qualifications

• High school diploma or higher education required.
• Certified Professional Coder (C-CPC) required or within 12 months of hire.
• Experience with risk adjustment programs preferred.
• Excellent communication skills for provider education and stakeholder collaboration.

Responsibilities

• Prepare and manage risk adjustment visit workflows, maintain patient lists and assist with scheduling.
• Conduct pre-visit chart reviews to validate ICD-10-CM diagnoses.
• Perform post-visit documentation analysis ensuring proper ICD-10-CM code assignment and MEAT criteria.
• Maintain knowledge of CMS risk adjustment regulations and HCC models.
• Support value-based care goals by collaborating with management and clinical teams.
• Serve as subject matter expert for providers on compliant risk adjustment practices.
• Deliver ongoing education and feedback on documentation standards and coding principles.
• Identify documentation gaps and communicate findings with structured feedback.
• Conduct chart audits and report key risk adjustment performance indicators.

Skills

CRC certification

C-CPC

Provider education

Communication skills

Education

High school diploma/GED

Job description

CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.

The Coordinator will support Hierarchical Condition Category (HCC) coding risk adjustment initiatives across value-based care contracts by preparing medical records, performing documentation review, ensuring accurate capture of diagnosis codes, and educating providers. This role partners closely with providers, clinical staff, coding teams and operational leadership to optimize HCC capture and improve documentation integrity.

Qualifications:
Professional coding certification; Certified Risk Adjustment Coder (CRC) strongly preferred or required within 12 months of hire
Experience with risk adjustment programs preferred.
Prior provider education or clinical collaboration experience preferred.
Excellent communication skills for provider education and stakeholder collaboration

Employment Type: Full Time

Shift: Mon-Thrs- 8am-4:30pm Fri- 8a-12p

Weekly Scheduled Hours: 36

Wage Range: $23.30 - $34.95 per hour

Weekend Requirements: NA
Requirements:

• High school diploma/GED or higher education


• -Certified Professional Coder (C-CPC)

Clinical Documentation Review & Risk Adjustment Coding

• Prepare and manage risk adjustment visit workflows, including maintaining patient lists, diagnosis summaries, and assisting with scheduling coordination.


• Conduct comprehensive pre‑visit chart reviews to identify and validate ICD‑10-CM diagnoses that accurately represent each patient’s health status.


• Perform post‑visit documentation analysis to ensure proper ICD‑10-CM code assignment, diagnosis specificity, and compliance with MEAT (Monitor, Evaluate, Assess, Treat) criteria.


• Maintain up‑to‑date knowledge of CMS risk adjustment regulations, HCC models, and clinical documentation and coding standards.


• Support organizational value-based care goals by collaborating with Manager, Quality and clinical teams to ensure compliant risk adjustment documentation.

Provider Engagement, Education & Clinical Support

• Serve as a clinical documentation and coding subject matter expert, supporting providers in achieving compliant and accurate risk adjustment practices.


• Deliver ongoing education and feedback to providers and coders regarding documentation standards, diagnosis specificity, and optimal risk adjustment coding principles.


• Identify documentation gaps or inconsistencies and communicate findings through structured, actionable feedback, including formalized documentation queries as needed.


• Promote a culture of documentation excellence that supports quality outcomes, operational performance, and compliant value-based care delivery.

Audit, Reporting & Performance Monitoring

• Conduct routine and targeted chart audits to assess documentation quality, coding accuracy, and HCC recapture performance.


• Track, analyze, and report key risk adjustment performance indicators, including recapture rates, suspect condition closure, documentation accuracy, and provider-level trends.


• Collaborate with operational leaders to integrate risk adjustment best practices into existing clinical workflows and identify opportunities for process improvement.


• Participate in quality assurance initiatives, report findings to leadership, and support the development of corrective action plans or workflow enhancements.

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy