Senior Risk Adjustment Coding Supervisor

Prominence-Health-Plan; Reno (NV); On-site; USD 85,000 - 110,000; Full time

Job summary

Prominence Health is seeking a Risk Adjustment Coding Supervisor to oversee the coding team, ensure CMS/HCC coding accuracy, and maintain coding policies across internal programs. The role includes training, staff development, and contributing to RADV audits as well as vendor relationships.

The ideal candidate has 3-5 years of CMS HCC risk adjustment coding experience, proficiency in ICD-10, and strong communication skills.

Qualifications

• High school education or GED required; Associate’s degree preferred.
• Coding certification (CCS or CPC) and ICD-10 proficiency.
• 3-5 years CMS HCC risk adjustment coding experience.
• 2+ years in a managed care setting.
• RHIT and CRC certification preferred.
• Ability to effectively communicate in English, both verbally and in writing.
• Proficient in Microsoft Office Suite: Word, Excel and Access.
• Excellent written and oral communication skills.
• Attention to detail.
• Billing experience is a plus.
• Experience with NCQA HEDIS programs preferred; healthcare setting experience noted.

Responsibilities

• Oversee and audit the coding team for accuracy and productivity.
• Develop, update, and maintain Prominence’s coding policy per CMS guidelines.
• Support production coding by assigning queues and projects.
• Identify underperforming coders and implement targeted training plans.
• Collaborate with the Prominence educator to conduct training for providers.
• Evaluate staffing needs and assist with hiring and onboarding.
• Assist RADV audits and manage vendor relationships to improve processes.

Skills

Attention to detail

Communication skills

Microsoft Office

Education

High school diploma or GED

Associate’s degree

Tools

Microsoft Word

Excel

Access

Job description

Prominence Health is seeking a Risk Adjustment Coding Supervisor to oversee the coding team, ensure CMS/HCC coding accuracy, and maintain coding policies across internal programs. The role includes training, staff development, and contributing to RADV audits as well as vendor relationships.

The ideal candidate has 3-5 years of CMS HCC risk adjustment coding experience, proficiency in ICD-10, and strong communication skills.