Risk Adjustment Specialist/Trainee - Corporate Compliance - Position #2021-179


Date Posted:
Full Time
OPEN UNTIL FILLED Corporate Monday - Friday 8:00a.m. - 5:00p.m.

Job Description


The Risk Adjustment Specialist/Trainee will be a part of the Risk Adjustment Team responsible for researching and resubmitting off multiple systems (Custody of Code) ICD9/10 codes and assist the Risk Adjustment Supervisor’s in all aspects of risk adjustment including, but not limited to, the research of medical records,  EPIC’s Clinical Repository, and other data bases for additional non-submitted chronic conditions for our Senior Patient population and the adherence to general coding compliance standards; and, for researching and identifying problem areas and solutions for comprehensive, accurate, submission of data for all EPIC clients. The Risk Adjustment Specialist works closely with the Risk Adjustment Supervisor to support assigned physicians in risk adjustment and/or auditing activities. 



High School Diploma or equivalent. Associate’s Degree in a generally related field from an accredited college preferred.Trainee –  Six months of experience in CPT-4, ICD 10 & HCPCS coding or successful completion of the EPIC Management Coding Compliance externship program. CPC-A, COC-A, or CRC certification required. Specialist – Two years' previous experience in CPT-4, ICD 10, & HCPCS Coding required. Practice Management, Managed Care or Web application experience preferred. Current CPC, COC or CRC certification required.

Applications must be complete and demonstrate that the minimum qualifications are met. Resumes may be attached to completed application form as supplemental information, but will not be accepted in lieu of an official application form. Applications will be screened and the most qualified candidates who best match the needs of the position will be invited to compete further in the recruitment process.  Due to the large volume of applications received, we are unable to track for individual applications or discuss the application process.