Senior Risk Adjustment Coder II - Travel & Field Audits

Astrana Health, Inc.; Monterey Park (CA); On-site; USD 75,000 - 85,000; Full time

Job summary

Astrana Health, Inc. in Monterey Park, CA is seeking a Risk Adjustment Coding Specialist II to verify provider documentation, educate providers, and support CMS risk adjustment initiatives. The role requires travel to provider sites (about 75%) and reports to the Supervisor - Risk Adjustment.

Requires CCS/CPC or similar certification and 3+ years of risk adjustment coding, with strong ICD-10-CM/HCC knowledge and EHR proficiency. Competitive salary is $75,000–$85,000 per year.

Qualifications

• 3+ years of risk adjustment coding experience.
• Must possess AAPC or AHIMA CCS/CPC certification.
• Ability to travel about 75% of work time.
• Strong knowledge of ICD-10-CM and HCC coding.
• Proficiency with EHR systems and medical record review.

Responsibilities

• Review provider documentation to verify Medicare Advantage, ACA, and commercial risk adjustment coding.
• Perform code abstraction and audits to ensure CMS guidelines.
• Interact with physicians on coding, documentation policies, and ambiguities.
• Meet productivity targets and deadlines.
• Provide training and support to staff on risk adjustment processes.

Skills

Risk adjustment coding

HCC concepts

ICD-10-CM coding

Medical records review

MS Office

Education

AAPC or AHIMA certification (CCS/CPC)

Tools

Microsoft Word

Excel

PowerPoint

EHR systems

Job description

Astrana Health, Inc. in Monterey Park, CA is seeking a Risk Adjustment Coding Specialist II to verify provider documentation, educate providers, and support CMS risk adjustment initiatives. The role requires travel to provider sites (about 75%) and reports to the Supervisor - Risk Adjustment.

Requires CCS/CPC or similar certification and 3+ years of risk adjustment coding, with strong ICD-10-CM/HCC knowledge and EHR proficiency. Competitive salary is $75,000–$85,000 per year.