Risk Adjustment Coding Specialist II — Travel-Heavy Impact

Astrana Health Management; Orange (CA); On-site; USD 70,000 - 85,000; Full time

Job summary

Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to join our Quality - Risk Adjustment team in Orange, CA. This full-time role focuses on reviewing provider documentation, ensuring CMS risk adjustment coding accuracy, and educating providers across multiple sites. Expect approximately 75% travel to physician offices and clinics.

You will work under the Sr. Manager - Risk Adjustment, perform coding audits, stay current with ICD-10/HCC changes, and mentor junior staff

Qualifications

• Must possess and maintain AAPC or AHIMA certification – CCS and/or CPC.
• CRC is a plus but not required.
• 3+ years experience in risk adjustment coding/billing.
• Reliable transportation and ability to travel ~75% of work time.
• Proficient with healthcare coding software and EHR systems.
• Strong communication and training skills for provider education.

Responsibilities

• Review diagnostic data to verify Medicare Advantage, ACA and Commercial risk adjustment documentation.
• Identify and document HCC-related coding information; perform audits for accuracy.
• Interact with physicians on coding, documentation, and policy alignment.
• Meet productivity targets and due dates; provide auditing feedback.
• Stay current with ICD-10, HCC changes and payer requirements.
• Mentor and train new staff; support ongoing coder education.

Skills

Communication

MS Office

Training

Collaboration

Time management

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Astrana Health Management is seeking a Risk Adjustment Coding Specialist II to join our Quality - Risk Adjustment team in Orange, CA. This full-time role focuses on reviewing provider documentation, ensuring CMS risk adjustment coding accuracy, and educating providers across multiple sites. Expect approximately 75% travel to physician offices and clinics.

You will work under the Sr. Manager - Risk Adjustment, perform coding audits, stay current with ICD-10/HCC changes, and mentor junior staff