Analyst, Risk Adjustment Coding

March 6

Strive Health

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We partner with providers and payers to provider complete care for kidney patients in a value-based setting.

201 - 500

💰 $140M Series B on 2021-03

Description

• The Risk Adjustment Coding Analyst is responsible for supporting the Strive clinical team and partner Nephrologists by providing risk adjustment education and clinical documentation support. • This individual will work in a matrixed organization to deliver complex ideas, support various key stakeholders, and assist with executing new risk adjustment initiatives • Using primarily the HCC Risk Adjustment model, conduct training with individual and large provider groups • Educate providers on the purpose of risk adjustment, as well as detailed and current risk adjustment documentation and coding training • Execute on risk adjustment onboarding training plans with new providers in the market • Analyze key coding performance indicators to determine those providers in need of initial or additional training • Identify training priorities and proactively schedule provider trainings with provider’s offices, individual providers, and groups of providers • The Risk Adjustment Coding Analyst ensures technical aspects of diagnostic and procedure coding follow CMS, NCQA, third party payers and other regulatory agencies • They will monitor assigned provider's documentation and coding, educate assigned providers on CMS, AMA and Strive documentation and coding guidelines, educate assigned ongoing education of ICD-10-CM to the providers and Perform provider queries and addendum requests based on CMA, AMA documentation and coding guidelines • The Risk Adjustment Coding Analyst will provide ongoing feedback and education to the clinical management team regarding accurate documentation to improve overall health outcomes for patients and continuity of care

Requirements

• Active, CPC and CRC (Certified Risk Adjustment Coder) License • 2+ years of experience in out-patient risk adjustment coding, documentation, reporting, and auditing in a healthcare or managed care environment

Benefits

• Flexible time off • Companywide wellbeing days • Volunteer time off • Leave packages including a sabbatical, parental leave and eight weeks paid for living donor • Professional development • A dedicated certified financial planner • Headspace, Carrot Fertility and Gympass for all Strivers