HCC Coding Specialist
Benefits:
- 401(k)
- 401(k) matching
- Bonus based on performance
- Company parties
- Dental insurance
- Employee discounts
- Free food & snacks
- Health insurance
- Opportunity for advancement
- Paid time off
- Parental leave
- Savings bank
- Training & development
- Vision insurance
- Wellness resources
- Review and analyze medical records to assign accurate HCC (Hierarchical Condition Category) codes
- Ensure proper documentation of chronic conditions and risk adjustment diagnoses in compliance with CMS guidelines
- Conduct retrospective and prospective chart reviews to identify coding gaps and opportunities
- Collaborate with physicians and clinical staff to clarify documentation and support coding accuracy
- Prepare and submit coding findings and reports to support risk adjustment programs
- Stay current with ICD-10-CM coding updates, CMS risk adjustment models, and payer-specific requirements
- Support audit processes and respond to coding queries in a timely manner
- Certified Professional Coder (CPC), CRC, or equivalent coding certification required
- Minimum 2+ years of experience in HCC coding and/or risk adjustment
- Strong working knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment models
- Experience with medical record review in a managed care or health plan environment preferred
- Proficiency with electronic health records (EHR) and coding software
- Exceptional attention to detail and commitment to coding accuracy and compliance
- Strong communication skills with the ability to work collaboratively across clinical and administrative teams
This is a remote position.
CPC or CRC required,2+ years HCC/risk adjustment coding experience,knowledge of ICD-10-CM and CMS-HCC,experience with EHR and coding software,attention to detail and strong communication.
Key Responsibilities
- reviewing records
- assigning codes
- preparing reports
Skills & Tools
ICD-10-CM, EHR, CMS-HCC, coding software
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — United States or Sherman Oaks
- Salary: USD 75,000 – 95,000 / year
- Languages: English
Benefits
- 401k matching
- Tuition reimbursement
- Retirement plan
About MedPOINT Management
An independent physician association management company supporting coordinated patient care and operational excellence. — Industry: Healthcare