Risk Adjustment Coding Supervisor

Summary

Join Homeward, a company dedicated to improving healthcare access in rural America, as a Risk Adjustment Coding Supervisor. This hybrid role, based in Minneapolis, Austin, Chicago, or the San Francisco Bay Area, involves leading and supporting a coding team, ensuring accurate and compliant Medicare & Medicaid risk adjustment coding processes. You will educate clinicians and staff on proper coding practices, conduct audits, drive operational excellence, and contribute to strategic initiatives. This position requires 5 years of experience in medical coding, healthcare education, or a related field, with a strong focus on Medicare risk adjustment, as well as CRC certification.

Requirements

• 5 years of experience in medical coding, healthcare education, or a related field, with a strong focus on Medicare risk adjustment
• Certified Risk Adjustment Coder (CRC) certification
• In-depth knowledge of Medicare & Medicaid risk adjustment methodology and coding guidelines
• Strong understanding of ICD-10-CM diagnosis coding
• Excellent communication skills
• Familiarity with electronic health record (EHR) systems
• Knowledge of healthcare compliance, regulations, and billing practices
• Proactive problem-solving capabilities and comfort working in a dynamic, evolving healthcare environment
• Excellent communication and interpersonal skills, with the ability to train and guide cross-functional teams

Responsibilities

• Lead and Support the Coding Team: Manage the day-to-day operations of the coding team, including overseeing schedules, time off requests, performance concerns, and general support needs
• Conduct Coding Audits: Regularly audit team members’ coding work to ensure accuracy, completeness, and adherence to risk adjustment and documentation standards
• Drive Operational Excellence: Ensure team performance aligns with department OKRs and quality benchmarks. Promote accountability through clear expectations and consistent follow-through
• Ensure Process Adherence: Maintain and enforce standardized workflows and procedures. Ensure all processes are clearly documented, consistently followed, and updated as needed
• Train and Develop Team Members: Provide onboarding, training, and ongoing professional development for coders. Offer coaching and mentorship to elevate team skills and engagement
• Escalate and Resolve Issues: Identify and escalate operational, cross-functional, or performance-related issues that impact team success
• Contribute to Strategic Initiatives: Participate in strategic planning discussions and serve as a subject matter expert for initiatives focused on improving coding workflows and performance
• Embrace Flexibility and Ownership: Take on additional tasks or lead workstreams as assigned to support process improvement and organizational growth

Preferred Qualifications

• Additional AAPC or AHIMA certification (CPC, RHIA, RHIT, CDIP etc.)
• Approved instructor certification through AAPC or AHIMA
• Experience with risk adjustment technology solutions and risk adjustment vendors
• Previous experience building from the ground up on a small, fast-paced team

Benefits

• Competitive salary and equity grant
• Unlimited Paid Time Off
• Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
• Company-sponsored 401k plan
• Flexible working arrangement