Alpine Physician Partners · 15 hours ago
Director, Risk Adjustment Coding
United States
Full-time
Remote
Director/Executive
$103K/yr - $148K/yr
7+ years expAlpine Physician Partners is dedicated to empowering physicians with the tools, insights, and support needed to deliver high-quality, value-based care. The Director, Risk Adjustment Coding is responsible for the strategy, leadership, and operational excellence of risk adjustment coding programs across all markets and provider groups.
Health CareMedicalNursing and Residential CarePrimary and Urgent Care
Responsibilities
Develop and execute Alpine’s enterprise-wide risk adjustment coding strategy aligned with organizational value-based care goals
Design scalable frameworks for HCC coding operations, documentation improvement, and provider education across diverse care settings
Partner with executive leadership to forecast, plan, and evaluate annual risk adjustment performance
Lead day‑to‑day management of coding operations, including in‑house coders, vendors, chart retrieval processes, and auditing
Oversee timely and accurate capture of HCCs for MA, MSSP, and ACO Reach risk programs
Implement processes that improve provider documentation completeness and clinical accuracy
Collaborate closely with physicians, practice leaders, and clinical teams to drive documentation improvement
Build and deliver education programs, coaching, and workflow enhancements that reduce burden and elevate documentation quality
Serve as the go‑to expert for coding issues, regulatory guidance, and clinical documentation best practices
Partner with data/analytics teams to enhance risk adjustment dashboards, reporting, and EMR-driven coding solutions
Evaluate and manage technology solutions that support prospective and retrospective coding workflows
Ensure coding programs integrate seamlessly with clinical workflows and value-based care operations
Maintain strict adherence to CMS, HHS, OIG, and payer-specific risk adjustment policies
Lead internal and external audit programs, including RADV preparedness, vendor monitoring, and coding quality assurance
Ensure coding standards meet or exceed industry benchmarks for accuracy and compliance
Recruit, develop, and retain a high-performing team of coders, auditors, educators, and analysts
Foster a culture of accountability, service excellence, and continuous improvement
Manage budgets, resource allocation, and operational KPIs
Qualification
Required
7+ years of experience in risk adjustment coding leadership within MA, ACO, or other risk-based programs
Expert knowledge of HCC models (CMS-HCC) and RAF methodologies
Relevant coding certifications (e.g., CRC, CPC, CCS)
Proven success in leading large-scale coding teams and vendor relationships
Experience working closely with physicians and clinical teams
Deep understanding of CMS guidelines, compliance requirements, and audit processes
Preferred
Experience in a physician enablement, MSO, or value‑based care organization
Background in analytics-driven or technology-enabled coding programs
Bachelor's degree in healthcare administration, nursing, HIM, or related field
Ability to thrive in a fast-paced, growing, entrepreneurial environment
Company
Alpine Physician Partners
Alpine Physician Partners is a medical care center that offers machine learning, house calls, and urgent care at-home programs.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Catherine Crow
Chief People Officer
Karen Xie
Chief Digital Officer
Company data provided by crunchbase