Risk Adjustment Coder

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider Alta. Med. At Alta. Med, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them.

By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview The Coder, Risk Adjustment position provides a thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient.

The Risk Adjustment Coder is responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports following all applicable federal, state, and county regulations/laws related to coding, auditing, and clinical documentation guidelines for the various risk adjustment models. May participate in developing, presenting, and disseminating provider communication and other activities related to clinical documentation.

Minimum Requirements High School Diploma required. A minimum of 2 years of risk adjustment coding and/or auditing experience is required. Electronic health record (EHR)/medical records (EMR) experience with the ability to navigate a variety of EHRs/EMRs. Candidates must have one of the following certifications: Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS, CCS-P).

Candidates hired without CRC certification must obtain certification within the first year of employment. Prior experience with Medicare Managed Care (Medicare Advantage) preferred Compensation $26.33 - $32.91 hourly Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations.

The range is subject to change. Alta. Med is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits

& Career Development Medical, Dental and Vision insurance 403(b) Retirement savings plans with employer matching contributions Flexible Spending Accounts Commuter Flexible Spending Career Advancement & Development opportunities Paid Time Off & Holidays Paid CME Days Malpractice insurance and tail coverage Tuition Reimbursement Program Corporate Employee Discounts Employee Referral Bonus Program Pet Care Insurance Job Advertisement & Application Compliance Statement Alta.

Med Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you.

After making a conditional offer and running a background check, if Alta. Med Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.