Coding Coordinator

Bright Health


  • Participate in risk adjustment coding audits including but not limited to vendor bi-directional chart chases, gap closure, and coding completeness
  • Play a key role in medical records retrieval; including but not limited to calling provider offices, obtaining medical records from EMR systems, and partnering with market nurses for retrieval
  • Participate in secondary level quality audits of vendor’s work for RADV audits and other risk adjustment projects
  • Responsible for performing code abstraction and/or coding quality audits of medical records to ensure that the ICD-10-CM codes are appropriately assigned and supported by clinical documentation
  • Identifies and tracks areas for documentation improvements and participates in documentation improvement initiatives
  • Maintain all coding certifications and requirements and keep up to date on knowledge of ICD-10 codes, CMS documentation requirements, and risk adjustment guidelines
  • Meet and maintain coding quality and productivity standards
  • Ensure compliance with all federal rules and regulations
  • Research and respond to coding questions submitted via the coding inbox



  • Associate degree or Bachelor’s degree required
  • Three (3) or more years’ experience in Medicare Advantage and Commercial coding and risk adjustment
  • Current coding certification through AAPC or AHIMA
  • Extensive knowledge of risk adjustment and ICD-10-CM coding guidelines
  • Extensive knowledge of Medicare Advantage and Commercial HCC models
  • Proficient in Microsoft Office Products; Word, Excel, Powerpoint


  • Medical record retrieval experience
  • Certified Risk Adjustment Coder (CRC)
  • HHS IVA RADV experience


  • Strong written and verbal communication skills
  • Strong attention to detail
  • Vast knowledge of EMR systems, medical record review, and abstraction
  • Ability to quickly learn and adapt to meet business needs
  • Experience working with Risk Adjustment vendors
  • Ability to work independently
  • Ability to build relationships with office staff, physicians, and market team


  • Current coding certification through AAPC or AHIMA
  • Certified Risk Adjustment Coder (CRC) preferred