Alpine Physician Partners, through Physician Health Partners, supports independent physician groups in delivering coordinated, value-based care that improves outcomes and lowers the total cost of care.
This role reviews medical records and provider documentation to identify, validate, and accurately code chronic conditions and diagnoses in accordance with Hierarchical Condition Category (HCC) risk adjustment models. The position plays an important role in capturing accurate risk scores, supporting provider education, and maintaining compliance with CMS and payer coding guidelines.
Work is a mix of remote or hybrid chart review and patient assessments performed either in person in patients’ homes throughout the Denver and Colorado Springs, Colorado areas or virtually.
Required Qualifications
- MD, DO, NP, PA, or equivalent medical degree/licensure required
- Active coding certification required: CRC, CPC, CCS, or equivalent through AAPC or AHIMA
- Minimum 2 years of experience in medical coding
- Direct experience in HCC or risk adjustment coding strongly preferred
- Working knowledge of ICD-10-CM coding guidelines and CMS HCC risk adjustment models
- Strong understanding of medical terminology, anatomy, physiology, and disease processes
- Proficiency with electronic health record systems and coding software
- Excellent attention to detail, analytical skills, and ability to work independently in a remote or hybrid environment
- Strong written and verbal communication skills
- Ability to communicate coding findings to clinical staff
Preferred Qualifications
- Experience in a value-based care, ACO, or managed care environment
- Prior experience conducting provider education or documentation improvement training
- Prior experience performing in-home health assessments or annual wellness visits
Additional Requirements
- Reliable transportation required for in-home visits
- Reliable internet access and a secure home workspace required for remote and virtual work
Location
Denver, Colorado, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago