Who You Are

You are ready for an exciting opportunity as Friday Health Plans continues to expand our Risk Adjustment team! You are skilled at analyzing medical records for accuracy and specificity. You understand how ACA risk adjustment works and have the capability to support RADV audits.

Who We Are

Friday Health Plans isn’t your average health insurance company. We’re not about unnecessary extras and confusing terminology. We cover the basic health services you’ll likely use the most at a price that just might make your wallet happy. Our simple health plans and friendly service keep you covered so you’re free to live every day like it’s Friday.

As a Denver-based company, we’re looking for smart, talented people like you to join us. We value collaboration, innovation, passion, and calculated risk-taking. Now in year eight, we’re looking for people who lead by example, and that example is one of flexibility, reliability, and positivity. If this sounds like you, then we want you on our team.

What You’ll Do:

• Code, abstract, and analyze inpatient and/or outpatient medical records using International Classification of Diseases, Tenth Revision (ICD-10) coding to the highest level of specificity.
• Determine accurate diagnosis and procedures codes within the patients’ health information records.
• Perform chart analysis to identify areas of the medical record that contain incomplete, inaccurate, or inconsistent documentation on a routine basis.
• Review and verify chart information such as place of service, attending provider, etc.
• Maintain updated understanding of current regulatory and coding publications and new developments in the rules and laws governing medical record coding and documentation.
• Adhere to all confidentiality and HIPAA requirements as outlined within Policies and Procedures in all ways and at all times with respect to any aspect of the data handles or services rendered in the undertaking of the position.
• Complete other duties as assigned or identified to fulfill business and department needs.

Required Knowledge, Skills & Abilities:

• Basic Microsoft Office skills: Word, Excel, PowerPoint
• Ability to work independently to investigate, pinpoint, and resolve problems
• Ability to defend coding decisions for internal audits
• Understand the impact of ICD-10 codes on the CMS HCC risk adjustment model
• Exemplary attention to detail
• Strong organization and communication skills
• Understand how ACA risk adjustment works

Required Education/Experience:

• Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or demonstrated leadership in Risk Adjustment coding and documentation/RADV
• 3+ years of experience in professional risk adjustment coding and RADV auditing
• 1+ years of experience working with CPT, ICD-10, and HCC coding

How You'll Be Valued:

• The pay range is $21.63/hour - $36.06/hour
• Medical, Vision, and Dental premiums covered at 100%
• Company funded health savings account (HSA)
• 401(k) and 401(k) matching
• Company paid life insurance
• Company paid short- and long-term disability insurance
• Child and elder care subsidy
• Employee assistance program
• Paid time off and 10 paid holidays
• A company culture that is regularly recognized as a Top Workplace by organizations such as CoBiz and The Denver Post

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