National Director, Risk Adjustment

Privia Health

Remote, United States
Base: $130,000.00-$160,000.00; bonus/equity: annua...
Remote
Hierarchical condition category (hcc) risk adjustment models
Center for medicare and medicaid services (cms) guidelines
American medical association (ama) coding guidelines
Privia Health is seeking a National Director of Risk Adjustment to optimize coding accuracy and compliance within their technology-driven healthcare model. The role involves collaborating with various stakeholders to implement effective risk adjustment strategies and improve patient care outcomes

Job Summary

  • The National Director will identify and implement initiatives to achieve complete and accurate coding goals across all markets while collaborating with Market and Provider Clinician Leadership.
  • This role serves as the internal subject matter expert on risk adjustment models, promoting coding compliance and developing educational programs aligned with federal regulations.
  • The position offers a base salary between $130,000 and $160,000 with an annual bonus target of 20% and eligibility for restricted stock units.

Matching Summary

Match Score: 85

Privia Health is seeking a National Director of Risk Adjustment to optimize coding accuracy and compliance within their technology-driven healthcare model. The role involves collaborating with various stakeholders to implement effective risk adjustment strategies and improve patient care outcomes.

Salary

Base: $130,000.00-$160,000.00; Bonus/Equity: Annual bonus targeted at 20% plus restricted stock units; Benefits: Medical, dental, vision, life, pet insurance, 401K, paid time off

Skills & Requirements

Must-have

  • Hierarchical Condition Category (HCC) Risk Adjustment models
  • Center for Medicare and Medicaid Services (CMS) guidelines
  • American Medical Association (AMA) coding guidelines
  • Electronic Medical Records (athenahealth preferred)
  • HIPAA compliance and patient confidentiality
  • Upcoding prevention strategies

Nice-to-have

  • Matrixed environment navigation skills
  • Vendor assessment and contracting experience
  • Scalable operations implementation
  • Data analytics and automation collaboration
  • Provider group training facilitation

Key Requirements

  • Minimum 3 years in leadership position
  • Certified Professional Coder (CPC) required
  • Bachelor's degree or equivalent work experience
  • Knowledge of Federal laws affecting risk adjustment documentation

Work Rights

Not specified

Tailored Resume

Cover Letter