Risk Adjustment Coding Specialist Full-Time Days in Boise

Trinity Health; Boise (ID); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Remote work after training

Job summary

Saint Alphonsus Health System in Boise, ID is seeking a full-time Risk Adjustment Coding Specialist to join our Population Health team. The role involves creating and compiling educational materials and delivering coding and documentation education to providers, the clinic care team, and coding/billing staff.

The position supports medical record audits for risk adjustment and core quality measures, participates in performance improvement initiatives, and offers work-from-home flexibility after

Qualifications

• High school diploma or equivalent; associate's/bachelor's preferred.
• Minimum of two years in a medical practice setting with clinic administration, billing, coding, or medical records OR two years in centralized billing for primary care/specialists.
• AAPC or AHIMA coding credential required within one year of hire.
• Ability to accurately review ICD-9/10 coding documentation.
• Experience with payer data, risk adjustment processes, and quality reporting preferred.

Responsibilities

• Create/compile educational materials and conduct coding and documentation education with providers and care teams.
• Conduct medical record audits for risk adjustment and quality measures.
• Assist with performance improvement initiatives.

Skills

ICD-9/10 coding

Medical records audits

Chart review

Payer data understanding

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Job description

Employment Type:Full timeShift:Day ShiftDescription:

We are looking for a full-time risk adjustment coding specialist to join our growing Population Health team. This position is located In Boise Idaho. This is a day shift, benefited position with the ability to work from home once training is complete.

The Risk Adjustment Coding Specialist will be responsible for the creation and/or compilation of educational materials and conducting coding and documentation education with providers, the clinic care team and coding/billing staff The Risk Adjustment Coding Specialist may also conduct medical record audits for risk adjustment and core quality measures and assist with other performance improvement initiatives.

We are looking for someone who has:

• Preformed Medical records Audits to ensure risk adjustments
• Ensured quality measures
  

Minimum Qualifications

• High school diploma or equivalent required; Associate's degree, Bachelor's degree, or some college coursework preferred.
• Minimum of two (2) years of experience working in a medical practice setting with involvement in clinic administration, operations, billing, coding, or medical records OR two (2) years of experience in a centralized billing department supporting primary care and/or specialty providers.
• AAPC or AHIMA coding credential required within one (1) year of hire.
• Ability to accurately review and interpret ICD-9/10 coding documentation.
• Experience working with payer data, risk adjustment processes, and quality reporting preferred.
  

Preferred Qualifications

• Certified Risk Adjustment Coder (CRC) credential.
• Experience with Electronic Health Records (EHR).
• One (1) year of experience performing chart audits in a medical environment.
  

Why Saint Alphonsus?

• We are serious about fostering an environment focused on personal and professional growth and offer opportunities that empower our colleagues to develop their careers.
• Saint Alphonsus Health System is a four-hospital regional, non-profit, faith-based, Catholic ministry with over 4,300 associates and a 950+ medical staff which serve 700,000 people in Idaho and Oregon.
• We are anchored by the only Level II Trauma Center in the region, Saint Alphonsus Regional Medical Center (Boise), providing the most experienced care to the most critically ill patients.
• Centers of Excellence include: Cardiovascular, Neuroscience, Oncology, Orthopedics, Trauma & Emergency and Women's & Children's.
  

Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health!

Visit www.saintalphonsus.org/careers to learn more about the benefits, culture, and career development opportunities available to you at Saint Alphonsus Health System.

Visit Saint Alphonsus on LinkedIn, Facebook, Instagram, YouTube, and Twitter!

Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.