Hcc Risk Adjustment Coder Jobs in Philadelphia, PA

What You'll Do

As a Clinical Lead within our interdisciplinary team, you do more than treat a diagnosis-you are the visionary architect of a better life for patients navigating the complexities of CHF, CKD/ESKD, and other chronic conditions. At Strive, we have shattered the constraints of the 15-minute office visit. Here, you are granted the true autonomy to provide longitudinal, deeply personal care that meets patients exactly where they are: in their homes and via telehealth. In this role, you will harness the power of advanced analytics, cutting-edge technology platforms, and seamless interdisciplinary collaboration to ensure world-class care reaches the right patient at the precise moment they need it. As the trusted navigator for a dedicated panel, you will blend high-touch clinical expertise with a radical "whole-person" approach. Your mission is to move the needle on what truly matters: 

• Keeping patients out of the hospital.
• Slowing disease progression, ensuring every individual feels seen, heard, and deeply cared for.

Strive is fiercely committed to advancing technology that makes the Nurse Practitioner role as efficient as it is impactful. We are obsessed with reducing administrative burden, clearing the path so you can reclaim your time for what you do best: meaningful clinical care and transformative patient engagement. 

The Day to Day 

• Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates with external providers and care teams to ensure goals, treatment, and care plan alignment.
• Obtains patient history, performs physical exam, orders and interprets diagnostic tests and formulates a plan for individual patient short-term and longitudinal needs.
• Ensures assessment and plan of care incorporate best practices for chronic kidney care including management of all stages of CKD, ESKD and heart failure. Will support transitions to renal replacement therapy, transplant, or conservative care) as well as participation in shared decision-making and end-of-life/advanced care planning discussions.
• Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care.
• Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings.
• Serves patients and performs patient visits in multiple care settings a including patient home, telehealth visits or dialysis clinics/partner MD space (where applicable).
• Responsible for maintaining current board certification and state-specific continuing education requirements.
•  Adheres to expectations outlined in Strive's documentation policy.
• Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting.
• Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities. Business travel may be required for opportunities to connect with stakeholders, serve patients, and attend Strive-sponsored team events.
• Serve patients in person and in multiple care settings (e.g., patient home, clinics) in addition to virtual visits.

Minimum Qualifications 

• Master's degree in Nursing or similar field.
•  2+ years experience as a Family Nurse Practitioner (NP), Primary Care Nurse Practitioner (NP) or equivalent with specialization in cardiology (CHF) or Nephrology (CKD).
•  2+ years experience with Electronic Health Records (EHR).
• Current state specific licensure.
• National Board Certification.
• Current Drug Enforcement Administration (DEA) license or eligible to obtain within 90 days of hire.
• Current BLS or CPR Certification.
• Efficient and reliable transportation, including an active driver's license, allowing for travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes.
•  Basic computer and Microsoft Office skills.
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

Preferred Qualifications 

•  Demonstrated expertise in CKD management (Stages 3-5), ESRD care, and dialysis management (hemodialysis and/or peritoneal dialysis, HHD), including medication optimization, volume assessment, and complication management.
•  Experience leading care transitions across settings (hospital outpatient dialysis) with a focus on reducing readmissions and ensuring continuity of care.
•  Proven ability to deliver comprehensive patient education on kidney disease progression, dialysis modality selection (home vs. in-center), and kidney transplant pathways to support informed, shared decision-making.
• 2+ years experience with Electronic Health Records (EHR).
•  Wound Care certification.
•  Experience using audio-visual technology platforms.

About You 

• Demonstrated proficiency in clinical assessment, diagnosis, planning, implementation, documentation, and evaluation of complex chronic patients.
• Excellent communicator, team builder, and evidence of results.
• Demonstrated knowledge and understanding of data and managing clinical, financial, and patient satisfaction outcomes.
• Excels at developing and fostering strong patient and family relationships that center on engagement, trust, honesty, empathy, follow-through and doing what's best for the patient.

Annual Salary Range: $112,000.00-$140,000.00