Lead, Risk Adjustment Coder

Who We Are

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors. 

Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences,  shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered,  and more compassionate healthcare family and Employer of Choice!  Will you join us Suvidanos, to help achieve our Higher Purpose?

What Makes Us Unique

We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve. 

How We Work

Our Culture & Core Beliefs

• Earn Trust
• Building Relationships
• Creating Joy
• Doing Right
• Improving Every Day
• Moving Forward

Our Promise

• Purpose Driven Career
• Competitive Pay
• Best-In-Class Medical/Dental Coverage 
• Free Mental Health & Life Coaching for Team Members and their Dependents
• Holiday Time Off with Pay
• Paid Community Service Day
• Paid Parental/Family Leave
• Paid Bereavement Leave
• Generous Paid Time Off (PTO)
• 401k Retirement Plan with Company Match
• And much more....

What You’ll Do 

Position Summary

The Lead, Risk Adjustment Coder plays an important role in achieving department objectives for the risk adjustment coding team.  This role will have split responsibilities, averaging 25% of time on administrative responsibilities, and 75% of time on daily coding responsibilities.  The Lead does not have direct supervisor responsibilities, but serves as the main point of contact to support the Coding team on a daily basis.  The Lead will serve as a resource for questions, basic coaching, and quality oversight for the front line Coding team, under supervision of the department Director.  The Lead will play a key role in being the primary subject matter expert for department operations, will assist in identifying best practices, and opportunities to improve quality, efficiency, and effectiveness of coding operations.  The Lead will continue to be responsible for coordinating/supporting prospective, retrospective, and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract and validate medical record data. The Lead Risk Adjustment Coder will serve as an important part of the care team to improve documentation and coding accuracy, and assist the primary care team to deliver high quality preventive care to patients.  Essential responsibilities consist of but not all inclusive:

Responsibilities

Lead Responsibilities:

• Training delivery for new hires, as well as update and refresher training for all team members
• Daily workload assignment in partnership with Director, Coding and Revenue Cycle Operations
• Proactively partner with leadership for subject matter expertise, and insights on opportunities to improve
• Perform quality assessments as assigned by supervisor, and communicate findings to supervisor and team members
• Monitor production and load balance to ensure productivity of all team members, and all work gets completed on time