Risk Adjustment Coding Specialist

🔥 7 minutes ago

🥔 Idaho – Remote

🥔 Idaho – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

🏨 Hospitality

🔥 Funding within the last year

💰 $20k Grant - Trinity Health on 2025-10

Healthcare • Non-profit • Hospitality

Trinity Health is one of the largest not-for-profit, faith-based healthcare systems in the United States. With approximately 127,000 colleagues and over 38,300 physicians and clinicians, it provides a wide range of medical services and care to diverse communities across 26 states. The organization emphasizes its mission-driven, faith-based values, community impact, employee benefits, and career opportunities including travel nursing through its FirstChoice program. Headquarters are listed in Livonia, Michigan. Trinity Health focuses on patient care, community health, and supporting a large workforce of clinical and non-clinical staff.

📋 Description

• Create and/or compile educational materials • Conduct coding and documentation education with providers, clinic care teams, and coding/billing staff • Conduct medical record audits for risk adjustment and core quality measures • Assist with performance improvement initiatives • Perform medical record audits to ensure risk adjustments • Ensure quality measures

🎯 Requirements

• High school diploma or equivalent required • Associate's degree, Bachelor's degree, or some college coursework preferred • Minimum of two (2) years of experience working in a medical practice setting with involvement in clinic administration, operations, billing, coding, or medical records OR two (2) years of experience in a centralized billing department supporting primary care and/or specialty providers • AAPC or AHIMA coding credential required within one (1) year of hire • Ability to accurately review and interpret ICD-9/10 coding documentation • Experience working with payer data, risk adjustment processes, and quality reporting preferred • Certified Risk Adjustment Coder (CRC) credential preferred • Experience with Electronic Health Records (EHR) preferred • One (1) year of experience performing chart audits in a medical environment preferred • Ability to work a day shift schedule, including training

🏖️ Benefits

• Full benefits package • Competitive compensation • Opportunities for personal and professional growth • Career development opportunities • Opportunities for growth throughout Saint Alphonsus Health System and Trinity Health • Inclusive work environment • Equal opportunity employment