CRC-Certified HCC Coding Analyst (Medicare)

E2E Alignment Healthcare USA, LLC; California; Remote; USD 59,000 - 88,000; Full time

Job summary

Alignment Health is seeking a skilled HCC Coding Analyst to oversee coding accuracy and audits across IPA networks. The role interfaces with provider partners to ensure CMS data quality and supports risk adjustment initiatives.

Ideal candidates have 3+ years in medical coding, familiarity with Epic/Allscripts/EZCap, and a strong grasp of CMS-HCC models and ICD-9/ICD-10 updates. This on-site position requires Pacific Time alignment and detailed documentation practices.

Qualifications

• Excellent written and verbal communication with diverse stakeholders.
• Ability to lead, teach and collaborate across teams.
• Experience in health care coding and risk adjustment workflows.
• Knowledge of CMS-HCC and ICD-9/ICD-10 changes is preferred.

Responsibilities

• Monitor coding and abstracting quality through audits and performance improvements.
• Develop and update IPA educational tools for providers to improve coding accuracy.
• Track audits and report progress to ensure CMS data accuracy.
• Coordinate risk adjustment audits and support CMS Data Validation activities.

Skills

Communication skills

Leadership

Team collaboration

Problem solving

Education

High School Diploma or GED

Tools

Epic

Allscripts

EZCap

Athena EHR

Job description

Alignment Health is seeking a skilled HCC Coding Analyst to oversee coding accuracy and audits across IPA networks. The role interfaces with provider partners to ensure CMS data quality and supports risk adjustment initiatives.

Ideal candidates have 3+ years in medical coding, familiarity with Epic/Allscripts/EZCap, and a strong grasp of CMS-HCC models and ICD-9/ICD-10 updates. This on-site position requires Pacific Time alignment and detailed documentation practices.