Strive Health
Risk Adjustment Coder
Denver, CO; United States (Central Time Zone); United States (Eastern Time Zone) · Mid
Sponsorship not specifiedDetected 23 days ago
AuditingICD-10Leadership
About the role
- How You'll Make An Impact At Strive Health, patients come first.
- Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives.
- You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
Responsibilities
- Works closely with physicians, team members, quality, and compliance partners at enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding.
- Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories.
- Performs HCC coding on projects for MA, ACA, and ESRD. Ability to quickly flex between coding projects, including retro and prospective, with different MA, ESRD, and ACA HCC Models.
- The Coder, Risk Adjustment Coding is responsible for supporting the Strive operational and clinical team and partner Nephrologists by reviewing risk adjustment visits for appropriate clinical documentation support.
- This role will perform provider queries and addendum requests based on CMA, AMA documentation and coding guidelines.
- Delivers value to Strive and its beneficiaries enrolled in Risk Adjusted government programs (MA,
Nice to have
- 5+ year's experience using ICD-10-CM, 2+years' experience with risk adjustment coding and training geared toward physicians.
- Successful candidates will also have presentation experience in the following areas: ICD-10-CM, CPT and HCPCS.
- Extensive knowledge of documentation and coding guidelines established by the Center for Medicare and Medicaid Service
Skills
- Shall consistently meet coding productivity and 95% accuracy and any additional requirements as set forth by the Coding Manager.
Compensation
- Financial & Retirement Support – Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
Benefits
- Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
- Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
- Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
- Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
- Works independently in various coding applications and electronic medical record systems to support departmental goals.
- We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.
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This listing is sourced directly from Strive Health's careers page and normalized into a canonical job model.