Coding Specialist - Risk Adjustment

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Under the direction of the Manager of Risk Coding, the Coding Specialist - Risk Adjustment is responsible for ongoing review of electronic and paper based medical charts to ensure accuracy, completeness and specificity of codes captured in the encounter submission in compliance with the regulatory reporting requirements. The Coding Specialist - Risk adjustment will provide subject matter expertise to assist physicians and healthcare providers in understanding the importance of quality data programs as it relates to payment methodology, and the importance of proper chart documentation of diagnoses coding.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
• Competitive salary.
• CalPERS retirement.
• State of the art fitness center on-site.
• Medical Insurance with Dental and Vision.
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development.
• Wellness programs that promote a healthy work-life balance.
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Education & Requirements
• Minimum two (2) years of experience in coding
• Must have strong chart audit experience in HCC coding
• AHIMA, or APCC certified coder experienced in managed care, program/project management, data analysis and interpretation
• High school diploma or GED required
• AHIMA or AAPC Certified Coder required
• CRC certification preferred

Key Qualifications
• Must have a valid California Driver's license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points
• Working knowledge of HCC coding requirements, ICD-10 and CPT guidelines are required
• Knowledge in risk adjustment models for Covered CA or Medi-Cal is preferred
• Excellent written, oral, and presentation skills is required
• Proficiency in Microsoft Word, Excel, PowerPoint
• Ability to take general direction and manage complex projects within deadlines
• Attention to details and the ability to organize and prioritize is required

Start your journey towards a thriving future with IEHP and apply TODAY!

Pay Range
• $71,572.80 USD Annually - $93,038.40 USD Annually

Apply Job!