Risk Adjustment Coder - Remote Work

LifePoint Health • Denver, CO

425d • $58,240 - $64,480 • Remote

About The Position

The Outpatient Risk Adjustment Coder at LifePoint Health is a remote position responsible for ensuring accurate claim submissions by reviewing patient medical records and clarifying at-risk documentation. This role serves as a bridge between providers and coders/billers, focusing on risk adjustment and proper coding for outpatient services. The position emphasizes building strong relationships with clinicians and administrators while delivering educational presentations and tracking case reviews.

Requirements

• Minimum of an Associate degree in a healthcare related program.
• A minimum of 3 years of experience in health care, business, or finance.
• Applicable CRC, credentialing through AHIMA, and/or AAPC with three years of ICD-10 and/or CPT/HCPCS coding.

Nice To Haves

• Certified Documentation Expert Outpatient (CDE-O) preferred or obtained within the first eighteen months of employment.
• Knowledge/awareness of HCCs or risk models.
• Ability to navigate in various electronic health records and utilize AI/NLP technologies.

Responsibilities

• Review patient medical records to validate accurate representation of severity of illness and risk adjustment.
• Clarify at-risk documentation to ensure accurate claim submission.
• Build strong working relationships with clinicians, administrators, and revenue cycle colleagues.
• Deliver presentations educating physicians and group practices on documentation requirements.
• Track, monitor, and report on case reviews and document results achieved.
• Prioritize and organize time and materials to balance documentation and education needs.

Benefits

• 401k
• Flexible PTO
• Generous Employee Illness Benefit (EIB)
• Medical insurance
• Dental insurance
• Vision insurance
• Tuition reimbursement
• Employee Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Associate degree