Risk Adjustment Coding Specialist - Remote

Overview

The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards while adhering to coding guidelines established by the Centers for Medicare and Medicaid Services (CMS).

In Short

• Full-time position with day shift.
• Responsible for accurate coding using ICD-10-CM.
• Must be a Certified Risk Adjustment Coder (CRC).
• Excellent verbal and written communication skills required.
• Detail-oriented and able to multi-task.
• Intermediate computer skills required (Word, Excel, Outlook, Teams).
• Participate in continuing education to maintain certification.
• 100% remote work with potential local travel.
• Adhere to confidentiality requirements.
• Work collaboratively in a team environment.

Requirements

• High School Diploma or GED.
• Certified Risk Adjustment Coder (CRC) required.
• Knowledge of ICD-10-CM coding and medical terminology.
• Ability to identify coding discrepancies.
• Must comply with Trinity Health policies and procedures.
• Ability to work in stressful environments.
• Must be able to lift/push/pull up to 20 pounds.
• Ability to work with interruptions and perform detailed tasks.
• Must adapt to changing work priorities.
• Ability to spend majority of work time utilizing a computer.

Benefits

• Join a large not-for-profit health care system.
• Work in a diverse and inclusive environment.
• Opportunities for professional development.
• Competitive salary based on experience and skills.
• Comprehensive benefits package.
• Emphasis on community service and care.
• Supportive team environment.
• Commitment to diversity and inclusion.
• Flexible remote work options.
• Engagement in charitable community programs.