Analyst, Risk Adjustment Coding

At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high‑touch care model integrates with local providers and uses predictive data to identify and support at‑risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare.

Join us in making a real difference.

• Hybrid‑Remote Flexibility – Work from home while fulfilling in‑person needs at the office, clinic, or patient home visits.
• Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer‑paid and voluntary life and disability insurance, plus health and flexible spending accounts.
• Financial & Retirement Support – Competitive compensation with a performance‑based discretionary bonus program, 401(k) with employer match, and financial wellness resources.
• Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthdays, bonding, sabbatical, and living donor leave.
• Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

The Analyst, Risk Adjustment Coding is responsible for supporting the Strive clinical team and partner nephrologists by providing risk adjustment education and clinical documentation support. This role is responsible for supporting the growth and improvement of Strive’s risk adjustment capabilities by conducting training, education, and management of coding and documentation improvement program. The Analyst ensures technical aspects of diagnostic and procedure coding follow CMS, NCQA, third‑party payers and other regulatory agencies.

They will monitor assigned provider’s documentation and coding, educate assigned providers on CMS, AMA and Strive documentation and coding guidelines, educate ongoing ICD‑10‑CM to the providers and perform provider queries and addendum requests based on CMA, AMA documentation and coding guidelines. This individual will provide ongoing feedback and education to the clinical management team regarding accurate documentation to improve overall health outcomes for patients and continuity of care.

This role will report to the Sr. Director, Risk Adjustment.

• Delivers value to Strive and its beneficiaries enrolled in risk‑adjusted government programs (MA, ACO, ACA, CKCC), using skills including but not limited to HCC (Hierarchical Condition Category) coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, and RADV audits.
• Works closely with physicians, team members, quality, and compliance partners at enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding.
• Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD‑10 diagnoses and HCC disease categories.
• Supports other key objectives to drive capture of correct risk adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
• Performs HCC coding on projects for MA, ACA, and ESRD. Ability to quickly flex between coding projects, including retro and prospective, with different MA, ESRD, and ACA HCC models.
• Works independently in various coding applications and electronic medical record systems to support departmental goals.

• 5+ years combined of related education, experience, or certification.
• Internet Connectivity – Min Speeds: 3.8 Mbps/3.0 Mbps (up/down):
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