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Senior Risk Adjustment Medical Coder – CRC Remote

HealthPartners/GHI, HealthPartners Enterprise · healthpartners.com
BloomingtonRemoteSenior
Apply on HealthPartners/GHI, HealthPartners Enterprise’s site
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Straight from the company’s own careers site.

The job in short

Risk adjustment medical coding.

ExcelClinicalCompliance

Details

Found
35 d ago · posted 2026-08-17
Location
Bloomington, MN

Full description

HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible for diagnosis coding review and vendor coding quality assurance; working to ensure that plan performance and plan revenue is based on an accurate representation of our population’s care needs and risks. ACCOUNTABILITIES: • Performs retrospective chart review for diagnosis coding accuracy. • Identifies, analyzes, and reports coding error trends to inform risk adjustment analytics and deliver provider education. • Reviews vendor coding and provide recurring feedback and education to vendor team. • Participates in internal and CMS-mandated risk adjustment data validation review. • Identifies, documents, and messages process improvements, clinical documentation improvements and/or other educational opportunities. • Develops and performs training and educational seminars to physicians and advanced practice providers on risk adjustment topics. • Increases collaborative efforts between HealthPartners Health Plan and HealthPartners Medical Group as it relates to optimization of diagnosis coding. • Analyzes and organizes complex information for effective reporting to leadership. • Conducts daily work consistent with HealthPartners core values and comply with all federal and state regulations. • Maintains confidentiality of protected health information. • Increases organizational efficiency in daily operations. • Responsible for other duties as assigned. REQUIRED QUALIFICATIONS: • High School Diploma or GED or Associate’s degree in a related field • One of the following credentials required: RHIA, RHIT, CPC, CCS, CCS-P • Certified Risk Adjustment Coder (CRC) credential • Minimum of five years experience with diagnosis coding review as a certified coder • Demonstrated working knowledge of the revenue cycle process, claims processing, retrospective chart review process, compliance and federal/state regulations, CPT, ICD-9, and ICD-10 coding • Identify issues and formulate solutions relating to retrospective chart review process improvement initiatives • Understand and communicate clinical documentation requirements for correct coding and to ensure integrity of the medical record • Skill and experience in effectively collaborating with team members & others using oral, written and interpersonal communications • PC skills in Microsoft Word and Excel • Organize and prioritize multiple assignments • Ability to deal with change and ambiguity • Able to work, both, as a team member or independently PREFERRED QUALIFICATIONS: • Four year college degree • Experience working with Epic

Medical Coding / Billing / Records jobs in the United States · All HealthPartners/GHI, HealthPartners Enterprise jobs · Senior Medical Coding / Billing / Records jobs in the United States · Senior and manager-level jobs in Bloomington, Minnesota · Remote Medical Coding / Billing / Records jobs in the United States · Senior roles at HealthPartners/GHI, HealthPartners Enterprise

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