ABOUT THIS TEMP POSITION
This is a temporary position and the length of assignment is estimated to go through December 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.
WHAT YOU’LL BE RESPONSIBLE FOR
Reporting to the Risk Adjustment Director, this position:
- Acts as the clinical coding subject matter expert and lead coding resource across the organization
- Acts as a resource and provides education to providers on clinical coding standards
- Coordinates and leads the Alliance Coding Workgroup
ABOUT THE TEAM
Risk Adjustment is a growing, specialized team that plays a critical role in ensuring accurate coding, appropriate reimbursement and data-driven insights that support the broader organizational goals of our health plan. Our team collaborates closely with internal and external partners to optimize risk adjustment performance across our future Medicare and current Medi-Cal programs. We are passionate about using data to improve our members’ health outcomes, support the success of our provider partners, and ensure regulatory alignment.
THE IDEAL CANDIDATE
- Strong background in clinical coding and documentation education with current certification as a Registered Health Information Administrator (RHIA) and Certified Coding Specialist (CCS)
- Demonstrated experience in supporting the development and implementation of clinical documentation improvement (CDI) programs
- Excellent communication skills with the ability to clearly explain complex regulatory or clinical coding concepts to diverse audiences
- Meticulous attention to detail with a strong foundation in auditing practices
- Experience leading cross functional workgroups