Risk Adjustment Coding Specialist II - Houston, Texas

Qualifications

Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC. 3-5+ years of experience in risk adjustment coding and/or billing experience required Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time PC skills and experience using Microsoft applications such as Word, Excel, and Outlook Excellent presentation, verbal and written communication skills, and ability to collaborate Must possess the ability to educate and train provider office staff members Proficiency with healthcare coding software and Electronic Health Records (EHR) systems. You're great for this role if: Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage Strong PowerPoint and public speaking experience Ability to work independently and collaborate in a team setting Experience with Monday.com Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting

• Environmental Job Requirements and Working Conditions The national target pay range for this role is $70,000 - $85,000 per year.
• Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
• This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis.
• This position requires monthly travel to Beaumont from Houston.
• Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer.
• We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
• All employment is decided on the basis of qualifications, merit, and business need.
• If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.