{"schemaVersion":"jobsearcher.job.v1","id":"8a85b5dd2dd1e2df8a95aed8","url":"https://jobsearcher.com/jobs/8a85b5dd2dd1e2df8a95aed8","canonicalUrl":"https://jobsearcher.com/jobs/8a85b5dd2dd1e2df8a95aed8","title":"Manager, Risk Adjustment Coding","description":"Job Description Summary\n\n‎\n\nThe Risk Adjustment (RA) Manager reports to the Director of Burden of Illness (BOI). S/he performs duties to conduct the day-to-day management of the MRA Team Supervisors and team functions by communicating with other operational departments and provider offices. S/he will participate in the development, implementation, and performance of workflows for reviewing electronic medical records aimed at improving the health and well-being of patients through appropriate identification of chronic disease conditions. This role will collaborate with all areas of the organization to ensure success of our value-based coding initiatives such as provider engagement, education, prevalence rates, documentation compliance and medical margin. He/she will support and further enhance the data and reporting model to capture and optimize ICD-10 reporting to payers to improve quality for our patients and reduce healthcare costs.\n\nThis position manages risk adjustment coding and quality assurance validation for the following programs, including but not limited to:\n\n• Prospective medical record review\n• Concurrent outpatient claim diagnosis coding\n• Retrospective medical record and provider response reviews\n\n‎\n\nHow will you make an impact & Requirements\n\n‎\n\nResponsibilities\n\nSubject matter expert for proper risk adjustment coding and CMS data validation\nProvides daily management of department staff and provides feedback to the Director of BOI on exceptional and/or substandard performance.\nOversees and ensures completion of all efforts associated with hiring, interviewing, onboarding, and recognition and discipline of staff.\nExecute on the continued development of provider performance measures on important aspects of care and service through data reviews and data-driven analysis.\nProvides ongoing feedback to staff on areas of success and improvement opportunities.\nEnsures that all members of the team are following official guidelines, policies, and standard procedures.\nCounsels staff on actions required to meet minimum performance requirements.\nProvides or arranges for necessary knowledge-based resources required by the department staff to meet quality and production standards.\nContributes to the reporting for reassessment of chronic conditions, provider address rates, coder variability, and other risk adjustment coding related measure trends\nParticipates in identifying and developing technology to enhance risk adjustment operations and accuracy\nStay updated on changes to Medicare guidelines, coding regulations, and reimbursement methodologies to ensure compliance and accuracy in coding practices.\nDevelop and lead coding education and training initiatives for staff to promote consistent and accurate coding practices across the organization.\nResearch best practices in risk adjustment coding and reviews the professional literature for coding updates, maintaining currency in coding.\nEvaluates, researches, and recommends enhancements to the risk adjustment program and internal coding guidelines.\nDevelops and implements new workflows and policies and procedures as needed to support new and existing department initiatives, audits, and projects.\nLead workgroups and manage project deliverables for department initiatives, audits, and provider communications.\nKeeps department Director apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success.\n\nQualifications\n\nBachelor’s degree or 3 years of equivalent related work experience\nCurrent active coding credential through AAPC or AHIMA required. **Preference given to those with CRC designation.\nMinimum of three (3) years coding experience directly related to Hierarchical Condition Category (HCC) coding.\nMinimum of two (2) year experience in a lead/senior role\nAdvanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.\nExtensive knowledge of coding conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care reimbursement systems. This includes a comprehensive understanding of ICD-10-CM.\nAdvanced skills for use of MS Office (Excel, Word, Access, and PowerPoint).\nDemonstrated ability to utilize a variety of electronic medical records systems.\nAbility to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision. Strong time management skills. Must possess high degree of accuracy, efficiency, and dependability.\nDemonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization both verbally and written.\nDemonstrated organizational and problem-solving ability.\nDemonstrated experience in project completion, educational program development and/or group presentation.\nCommitment to maintaining confidentiality and adhering to ethical coding standards.\n\nPhysical Demands\n\nSedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help.\n\nEqual Employment Opportunity\n\nMPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race, color, sex (including pregnancy), genetic information, sexual orientation, religion, physical or mental disability, age, military or veteran status, marital status, familial status, national origin, or any other legally protected class.\nEqual opportunity applies to all areas of the employment relationship, including hiring, promotions, training, terminations, working conditions, pay, and other terms and conditions of employment.\nMillennium Physician Group (MPG) is committed to the full inclusion of all qualified individuals. In keeping with our commitment, MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, contact HRbenefits@mpgus.com.\n\n‎\n\nCompensation Range:\n\n$85,159.00\n\nto\n\n$127,738.00\n\nThe anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.","company":"Millennium Physician Group","rawCompany":"millennium physician group","city":"Bloomington","state":"MN","isRemote":false,"isActive":false,"createdAt":"2026-09-01T10:39:59.165Z","occupations":[{"code":"11-9111.00","title":"Medical and Health Services Managers","slug":"medical-and-health-services-managers"},{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"},{"code":"11-9199.01","title":"Regulatory Affairs Managers","slug":"regulatory-affairs-managers"}],"industries":[{"code":"622110","title":"General Medical and Surgical Hospitals","slug":"general-medical-and-surgical-hospitals"},{"code":"622310","title":"Specialty (except Psychiatric and Substance Abuse) Hospitals","slug":"specialty-except-psychiatric-and-substance-abuse-hospitals"},{"code":"621111","title":"Offices of Physicians (except Mental Health Specialists)","slug":"offices-of-physicians-except-mental-health-specialists"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Manager, Risk Adjustment Coding","description":"Job Description Summary\n\n‎\n\nThe Risk Adjustment (RA) Manager reports to the Director of Burden of Illness (BOI). S/he performs duties to conduct the day-to-day management of the MRA Team Supervisors and team functions by communicating with other operational departments and provider offices. S/he will participate in the development, implementation, and performance of workflows for reviewing electronic medical records aimed at improving the health and well-being of patients through appropriate identification of chronic disease conditions. This role will collaborate with all areas of the organization to ensure success of our value-based coding initiatives such as provider engagement, education, prevalence rates, documentation compliance and medical margin. He/she will support and further enhance the data and reporting model to capture and optimize ICD-10 reporting to payers to improve quality for our patients and reduce healthcare costs.\n\nThis position manages risk adjustment coding and quality assurance validation for the following programs, including but not limited to:\n\n• Prospective medical record review\n• Concurrent outpatient claim diagnosis coding\n• Retrospective medical record and provider response reviews\n\n‎\n\nHow will you make an impact & Requirements\n\n‎\n\nResponsibilities\n\nSubject matter expert for proper risk adjustment coding and CMS data validation\nProvides daily management of department staff and provides feedback to the Director of BOI on exceptional and/or substandard performance.\nOversees and ensures completion of all efforts associated with hiring, interviewing, onboarding, and recognition and discipline of staff.\nExecute on the continued development of provider performance measures on important aspects of care and service through data reviews and data-driven analysis.\nProvides ongoing feedback to staff on areas of success and improvement opportunities.\nEnsures that all members of the team are following official guidelines, policies, and standard procedures.\nCounsels staff on actions required to meet minimum performance requirements.\nProvides or arranges for necessary knowledge-based resources required by the department staff to meet quality and production standards.\nContributes to the reporting for reassessment of chronic conditions, provider address rates, coder variability, and other risk adjustment coding related measure trends\nParticipates in identifying and developing technology to enhance risk adjustment operations and accuracy\nStay updated on changes to Medicare guidelines, coding regulations, and reimbursement methodologies to ensure compliance and accuracy in coding practices.\nDevelop and lead coding education and training initiatives for staff to promote consistent and accurate coding practices across the organization.\nResearch best practices in risk adjustment coding and reviews the professional literature for coding updates, maintaining currency in coding.\nEvaluates, researches, and recommends enhancements to the risk adjustment program and internal coding guidelines.\nDevelops and implements new workflows and policies and procedures as needed to support new and existing department initiatives, audits, and projects.\nLead workgroups and manage project deliverables for department initiatives, audits, and provider communications.\nKeeps department Director apprised of project activities through regular written and oral status reports. Proactively identifies risks that may hinder project success.\n\nQualifications\n\nBachelor’s degree or 3 years of equivalent related work experience\nCurrent active coding credential through AAPC or AHIMA required. **Preference given to those with CRC designation.\nMinimum of three (3) years coding experience directly related to Hierarchical Condition Category (HCC) coding.\nMinimum of two (2) year experience in a lead/senior role\nAdvanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.\nExtensive knowledge of coding conventions and payment rules as they apply to medical record documentation, billing of medical services, and health care reimbursement systems. This includes a comprehensive understanding of ICD-10-CM.\nAdvanced skills for use of MS Office (Excel, Word, Access, and PowerPoint).\nDemonstrated ability to utilize a variety of electronic medical records systems.\nAbility to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision. Strong time management skills. Must possess high degree of accuracy, efficiency, and dependability.\nDemonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization both verbally and written.\nDemonstrated organizational and problem-solving ability.\nDemonstrated experience in project completion, educational program development and/or group presentation.\nCommitment to maintaining confidentiality and adhering to ethical coding standards.\n\nPhysical Demands\n\nSedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help.\n\nEqual Employment Opportunity\n\nMPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race, color, sex (including pregnancy), genetic information, sexual orientation, religion, physical or mental disability, age, military or veteran status, marital status, familial status, national origin, or any other legally protected class.\nEqual opportunity applies to all areas of the employment relationship, including hiring, promotions, training, terminations, working conditions, pay, and other terms and conditions of employment.\nMillennium Physician Group (MPG) is committed to the full inclusion of all qualified individuals. In keeping with our commitment, MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, contact HRbenefits@mpgus.com.\n\n‎\n\nCompensation Range:\n\n$85,159.00\n\nto\n\n$127,738.00\n\nThe anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.","datePosted":"2026-09-01T10:39:59.165Z","dateModified":"2026-09-01T10:39:59.165Z","hiringOrganization":{"@type":"Organization","name":"Millennium Physician Group","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Bloomington","addressRegion":"MN","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"8a85b5dd2dd1e2df8a95aed8"},"url":"https://jobsearcher.com/jobs/8a85b5dd2dd1e2df8a95aed8"}}