Senior Risk Adjustment Coding Specialist

Interwell Health; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

Interwell Health in the United States is seeking an experienced Senior Associate, Coding Documentation Support to join our Risk Adjustment team. The role supports chart review, education, and documentation optimization for compliant coding practices across our provider network.

You will collaborate with clinicians and the risk adjustment staff to deliver timely data insights, develop educational materials, and ensure adherence to federal and state regulations.

Qualifications

• Certified Professional Coder (CPC).
• Certified Risk Adjustment Coder (CRC) Preferred.
• Bachelor’s degree in related field of study preferred.
• 3+ years of experience with Risk Adjustment HCC coding or abstraction.
• 2+ years of ICD-10 Coding, Chart Review Auditing.
• Comprehensive understanding of HCC coding rules & regulations.
• Excel, Word, PowerPoint. Must be proficient with Excel functions to develop data trends (pivot tables, graphs, etc).

Responsibilities

• Provide real-time documentation support to healthcare providers before and after patient encounters.
• Evaluate chart review performance and provide analysis to assist physicians and/or staff in improving and supporting coding and documentation best practices.
• Assist with Practice Support of Chart Review Process and Education
• Identify areas of improvement that will be used to plan provider education and create action plans for practices to address deficiencies.
• Prepare documents to present to practices or for follow-ups such as chart note examples, provider documentation trends, provider educational materials or coding guidelines
• Provide coding education to physicians, advanced practitioners, staff as needed
• Ensure compliance with all applicable federal, state and/or county laws and regulations related to coding and documentation guidelines for risk adjustment.
• Promotes transparency and collaborates with project team members to ensure effective coordination

Skills

CPC

CRC preferred

HCC coding

ICD-10 Coding

Chart Review Auditing

HCC rules & regulations

Education

Bachelor’s degree in related field preferred

Tools

Excel

Word

PowerPoint

Job description

Interwell Health in the United States is seeking an experienced Senior Associate, Coding Documentation Support to join our Risk Adjustment team. The role supports chart review, education, and documentation optimization for compliant coding practices across our provider network.

You will collaborate with clinicians and the risk adjustment staff to deliver timely data insights, develop educational materials, and ensure adherence to federal and state regulations.