Risk Adjustment Coding Analyst

WHO WE ARE

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

 

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees?

 

If so, AIDS Healthcare Foundation is the place for you!

 

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them.

  

AHF’s core values are:

 

• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What’s Right
•  

Please review our Advocacy page for the latest news on how AHF is Fighting for What’s Right! Advocacy News.

YOUR CONTRIBUTION TO OUR SUCCESS!

The Risk Adjustment Coding Analyst (RACA) contributes to AHF by providing medical coding knowledge pertaining to the Managed Care Risk Adjustment Model in PHP’s SNP leading to accurate risk scores which are used by CMS to adjust payments to health plans and predict healthcare costs.

The RACA enhances the reputation of AHF by coding according to Coder Guidelines and maintaining a full understanding of the regulations that apply to the coding and auditing of medical charts.  The RACA also abides by all laws that protect the confidentiality of medical records.

You will be a passionate advocate for our top initiatives.

To be successful as the RACA, it is crucial to ensure that the AHF Core Values and Mission stay top of mind with all that you do. At AHF, we are nimble and able to adapt in a dynamic environment to assist in providing the best experience for our clients and workplace for our employees.

AHF has a collaborative organizational structure where staff are accountable to multiple leaders.

The RACA will work as a part of a close-knit team to enhance the accuracy of the Care Management revenue model by i.) Reviewing and analyzing medical records; ii) Assigning and capturing the ICD 10 HCC codes from the medical records of members in PHP’s SNP to reflect their health status, while delivering the Risk Adjustment provider education necessary and while meeting coding deadlines for all HCC coding projects.

Licenses and Certifications: AAPC or AHIMA certified.

AHF Commitment

We at AIDS Healthcare Foundation believe that each individual is entitled to equal employment opportunities without regard to race, color, creed, gender, sexual orientation, gender identity, marital status, national origin, age, veteran status or disability. The right of equal employment opportunity extends to recruiting, hiring selection, transfer, promotion, training and all other conditions of employment. AHF will consider qualified applicants with criminal histories in a manner consistent with the requirements of the ordinance.