AL
AlpineClinical Risk Adjustment Coder
Read straight from Alpine's careers page, verified 1d ago.Seekless can tailor your résumé to it.
Seekless can write your résumé for this posting first.
Before you apply
SalaryNo pay range posted
LocationUSA, Colorado, Denver
Also inColorado Springs, CO
Work modehybrid
SeniorityMid
Experience2+ yrs
Company size1,001–5,000 people
PostedOct 14, 2026 · 3w ago
Verified live1d ago
At a glanceSummarised by Seekless from the posting.
MD, DO, NP, PA, or equivalent medical degree/licensure required
Active coding certification required: CRC, CPC, CCS, or equivalent through AAPC or AHIMA
Minimum 2 years of experience in medical coding
Working knowledge of ICD-10-CM coding guidelines and CMS Hierarchical Condition Category (HCC) risk adjustment models
Strong understanding of medical terminology, anatomy, physiology, and disease processes
Proficiency with electronic health record (EHR) systems and coding software
Excellent attention to detail, analytical skills, and ability to work independently in a remote or hybrid environment
Strong written and verbal communication skills, including the ability to communicate coding findings to clinical staff
Direct experience in HCC or risk adjustment coding strongly preferred
Experience in a value-based care, ACO, or managed care environment
Prior experience conducting provider education or documentation improvement training
Prior experience performing in-home health assessments or annual wellness visits
Reliable transportation is required for in-home visits
Reliable internet access and a secure home workspace are required for remote and virtual work to maintain compliance with HIPAA and data security standards
Skills
ICD-10-CM
EHR
HCC risk adjustment models
Are you looking to work for a company that has been recognized for over a decade as a Top Place to Work? Apply today to become a part of a company that continues to commit to putting our employees first.
Job Description:
About Alpine Physician Partners
Alpine Physician Partners partners with independent physician groups to deliver coordinated, value-based care that improves outcomes and lowers the total cost of care. Our clinical and coding teams support providers with the accurate, compliant documentation and coding practices that make value-based care possible.
Position Summary
The Clinical Risk Adjustment Coder reviews medical records and provider documentation to identify, validate, and accurately code chronic conditions and diagnoses in accordance with Hierarchical Condition Category (HCC) risk adjustment models. This role plays a key part in ensuring accurate risk score capture, supporting provider education, and maintaining compliance with CMS and payer coding guidelines.
Key Responsibilities
•
Review medical records, encounter notes, and provider documentation to identify and validate diagnosis codes relevant to HCC and other risk adjustment models.
•
Conduct in-home or virtual health assessments with patients, evaluating and documenting chronic conditions to support accurate risk adjustment coding.
•
Assign and verify ICD-10-CM codes in accordance with official coding guidelines, CMS risk adjustment requirements, and payer-specific policies.
•
Conduct retrospective and prospective chart reviews to identify gaps in documentation and coding accuracy.
•
Collaborate with providers and clinical staff to clarify documentation and support accurate capture of chronic conditions.
•
Provide feedback and education to providers on documentation improvement opportunities related to risk adjustment coding.
•
Monitor coding accuracy through internal audits and quality assurance reviews, identifying trends and recommending corrective action.
•
Stay current on CMS and payer-specific risk adjustment methodology updates, including changes to HCC models and ICD-10-CM guidelines.
•
Maintain strict compliance with HIPAA and all applicable privacy and security regulations when handling protected health information.
•
Partner with quality, analytics, and compliance teams to support risk adjustment initiatives and reporting.
•
Maintain and update patient data for long-term tracking and reporting.
Required Qualifications
•
MD, DO, NP, PA, or equivalent medical degree/licensure required.
•
Active coding certification required: CRC (Certified Risk Adjustment Coder), CPC, CCS, or equivalent through AAPC or AHIMA.
•
Minimum 2 years of experience in medical coding, with direct experience in HCC or risk adjustment coding strongly preferred.
•
Working knowledge of ICD-10-CM coding guidelines and CMS Hierarchical Condition Category (HCC) risk adjustment models.
•
Strong understanding of medical terminology, anatomy, physiology, and disease processes.
•
Proficiency with electronic health record (EHR) systems and coding software.
•
Excellent attention to detail, analytical skills, and ability to work independently in a remote or hybrid environment.
•
Strong written and verbal communication skills, including the ability to communicate coding findings to clinical staff.
Preferred Qualifications
•
Experience in a value-based care, ACO, or managed care environment.
•
Prior experience conducting provider education or documentation improvement training.
•
Prior experience performing in-home health assessments or annual wellness visits.
Work Environment
This position combines remote or hybrid chart review work with patient assessments conducted either in-person in patients’ homes throughout the Denver and Colorado Springs, CO areas or virtually. Reliable transportation is required for in-home visits, and reliable internet access and a secure home workspace are required for remote and virtual work in order to maintain compliance with HIPAA and data security standards.
Equal Employment Opportunity
Alpine Physician Partners is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable law.
Salary Range: