What are the responsibilities and job description for the Risk Adjustment Coder position at Upperline Health Inc?
A Specialty Path to Good Health
Upperline Health is the nation’s largest provider group dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of transforming specialty care, Upperline Health is a pioneer in bringing value-based care models into specialty care. Upperline delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.
Triage is temporary.
Treatment is transformative.
Upperline Health providers coordinate patients’ care among a team of specialists – physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs.
We put patients at the center of value-based care.
This position is available to remote candidates who currently reside in the following states: AL, AZ, FL, GA, IL, IN, KY, MI, OH, SC, NV, PA, TX, TN.
About the Risk Adjustment Coder Role
Upperline Health is looking for a detail-oriented and motivated Risk Adjustment Coder to join our dynamic team. The ideal candidate will play a key role in accurately reviewing and assigning diagnostic codes from medical records to support risk adjustment initiatives. This position requires strong attention to detail, the ability to work independently, and a commitment to maintaining high-quality coding standards in a fast-paced environment.
What You'll Do:
- Review and abstract diagnosis information from medical records in accordance with official coding guidelines and risk adjustment models (e.g., HCC, CDPS).
- Assign appropriate ICD-10-CM codes based on provider documentation.
- Ensure coding accuracy and completeness for risk adjustment purposes.
- Follow clear, detailed instructions and organizational coding protocols.
- Maintain productivity and quality standards as defined by the department.
- Collaborate with other coders and team members to support project goals.
- Participate in ongoing training and education to stay current in coding practices and regulations.
- Ensure a HIPAA-compliant workspace and maintain patient confidentiality at all times.
Preferred Qualifications:
- Strong knowledge of anatomy and physiology, with the ability to interpret medical documentation accurately.
- Familiarity with EHR systems and medical record platforms (athenahealth
- Understanding of Medicare and/or Medicaid coding guidelines.
Required Skills & Competencies:
- CPC-A certification preferred (Certified Professional Coder - Apprentice from AAPC).
- Must be detail-oriented with strong analytical and organizational skills.
- Ability to follow clear instructions and standardized workflows.
- Must be a team player with strong interpersonal skills.
- Demonstrated ability to work in a fast-paced, deadline-driven environment.
- Must be adaptable and flexible to evolving project needs and shifting priorities.
- Open to continuous learning in an ever-growing field of healthcare coding and risk adjustment.
- Must have access to a quiet, private workspace free from distractions or other people during work hours.
Benefits
Comprehensive benefit options include medical, dental and vision, 401K (matching), PTO and parental leave.
Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.
Job Type: Full-time
Equal Opportunity Employer
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