Clinical Risk Adj Spec LPN - St. Luke's Health Partners

Description & Requirements At St. Luke's Health System, we're committed to improving patient outcomes through accurate documentation, ethical coding practices, and strong provider partnerships. We are seeking an experienced Clinical Risk Adjustment Specialist (LPN) to join a small, highly skilled team of LPNs and healthcare insurance specialists supporting our provider network. This role is ideal for an LPN with a strong background in healthcare documentation, coding, and quality improvement who enjoys working directly with providers in a consultative and educational capacity. Monday-Friday | 7:00 a.m.-3:30 p.m. | No Weekends What You'll Do Under general supervision, the Clinical Risk Adjustment Specialist (LPN): Support network providers and care teams with risk adjustment, billing, and coding accuracy Partner with health plans and internal teams to support audits related to billing, coding, and documentation Provide consultative services to providers to improve clinical documentation and coding practices Deliver education, coaching, and feedback on billing, coding, and risk adjustment methodologies Review medical records to ensure accurate reflection of patient illness severity, complexity, and burden of disease Work directly with providers to improve performance, compliance, and quality outcomes Serve as a subject matter resource related to risk adjustment, documentation integrity, and quality initiatives Qualifications Required: Current Licensed Practical Nurse (LPN) license Healthcare experience with strong understanding of clinical documentation Experience working collaboratively with providers or clinical teams Knowledge of medical billing, coding, and/or risk adjustment principles Coding certification required or must be obtained within six (6) months of hire. Preferred: Quality, billing, or coding certification (e.g., CPC, CCS, CRC, or similar) Prior experience supporting audits, quality programs, or value-based care initiatives Experience working with health plans or provider networks What's In It For You At St. Luke's, caring for people in the communities we serve is our mission - and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals. St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law. Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.

Created: 2026-03-04