We are seeking a highly motivated Risk Adjustment Coding Specialist to support the Houston market. This role focuses on high-volume chart reviews to identify coding gaps, trends, and opportunities to improve accuracy for providers.
You will translate findings into actionable insights, create and deliver provider education, and track key performance metrics such as HCC recapture rates, AWVs, and other KPIs to support provider performance and program success.
This position requires travel to provider offices twice a week in the Houston area and follows a hybrid work structure with time in the office, in the field, and at home each week.
Qualifications
- AAPC certification required; CPC must be maintained
- CRC certification strongly preferred
- At least 3 years of experience in risk adjustment coding and/or billing
- At least 1 year of experience with targeted provider education
- Reliable transportation and valid driver's license
- Ability to travel up to 75% of work time
- Proficiency with Microsoft Word, Excel, and Outlook
- Excellent presentation, verbal, and written communication skills
- Ability to educate and train provider office staff
- Experience with healthcare coding software and EHR systems
Preferred Experience
- Strong billing knowledge or CPB certification through AAPC
- Knowledge of Risk Adjustment and HCC for Medicare Advantage
- Strong PowerPoint and public speaking skills
- Ability to work independently and in a team setting
- Experience with Monday.com
- Experience presenting to provider teams in person
Location
Houston, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$70,000 - $85,000
Remote work allowed
No
Posted
1 month ago