Senior Risk Adjustment Coder (CRC) — Quality & Training

DaMar Staffing; BLOOMINGTON (MN); On-site; USD 85,000 - 110,000; Full time

Job summary

HealthPartners in Minnesota is seeking a Risk Adjustment Coding Analyst Senior to review diagnosis coding and oversee vendor coding quality assurance. The role ensures that plan performance and revenue reflect the population's care needs and risks.

The position requires strong chart review skills, knowledge of CPT/ICD coding, and experience with revenue cycle processes. Collaboration with providers and vendors is essential to maintain compliant coding practices.

Qualifications

• Minimum: certified coder with CRC or RHIA/RHIT/CPC/CCS/CCS-P credential.
• Minimum five years of diagnosis coding review experience.
• Knowledge of CPT, ICD-9 and ICD-10 coding and revenue cycle processes.
• Ability to communicate clinical documentation requirements clearly.
• Ability to organize, prioritize multiple assignments and adapt to change.

Responsibilities

• Perform retrospective chart reviews for coding accuracy.
• Identify and report coding error trends to inform risk adjustment analytics.
• Review vendor coding and provide feedback and education.
• Participate in data validation reviews for risk adjustment.
• Develop training materials and seminars on risk adjustment topics.
• Collaborate with HealthPlan and Medical Group on coding optimization.
• Prepare information for leadership reporting.
• Maintain confidentiality of protected health information.

Skills

Retrospective chart review

Coding accuracy

Issue identification & solutions

Communication

Education delivery

Team collaboration

Regulatory compliance

Microsoft Word

Excel

Education

High School Diploma or GED or Associate degree

Four year college degree

Tools

Epic

Job description

HealthPartners in Minnesota is seeking a Risk Adjustment Coding Analyst Senior to review diagnosis coding and oversee vendor coding quality assurance. The role ensures that plan performance and revenue reflect the population's care needs and risks.

The position requires strong chart review skills, knowledge of CPT/ICD coding, and experience with revenue cycle processes. Collaboration with providers and vendors is essential to maintain compliant coding practices.