Responsible for creating and compiling educational materials and providing coding and documentation education to providers, clinic care teams, and coding/billing staff.
May conduct medical record audits for risk adjustment and core quality measures and support performance improvement initiatives tied to Advanced Payment Model contracts.
Works with payer partners across Medicare, Medicare Advantage, Commercial, QHP, and Medicaid arrangements, using data and reports to improve clinical condition documentation and recapture rates.
Develops insights and contributes to analytics and reporting that help providers document and code with the highest level of specificity.
Maintains strict confidentiality and builds collaborative relationships with internal and external partners to support effective project outcomes.
This is a fully remote, full-time position working 40 hours per week and is benefit eligible.
Minimum of 2 years of experience in risk adjustment coding in a medical practice, network, or payer setting using EHRs.
Minimum of 4 years of coding experience.
Chart auditing experience preferred.
High school diploma or equivalent required.
Associate's degree, bachelor's degree, or some college preferred.
Certified Risk Adjustment Coder (CRC) required.
AAPC or AHIMA coding credential required.
Full-time, benefit-eligible position.
Competitive compensation.
Full benefits package.
Opportunity for growth throughout Saint Alphonsus Health System and Trinity Health.
Location
Boise, Idaho, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago