HCC Coding Analyst (CRC Certified)

Alignment Healthcare USA, LLC; Orange (CA); Remote; USD 59.000 - 88.000; Vollzeit

Zusammenfassung

Alignment Health in Orange, CA seeks a HCC Coding Analyst to interface with provider partners, monitor and implement coding strategies, audit RAPS submissions, and ensure CMS data accuracy.

You will train staff, maintain tracking tools, collaborate with Risk Adjustment Management, and stay current with CMS-HCC models and ICD-9/ICD-10 changes. Requires 3+ years coding in medical group or health plan, and certifications.

Qualifikationen

• Minimum 3+ years of coding in a medical group or health plan setting.
• Professional Coding experience required.
• Minimum 1 year experience with strategic planning in risk mitigation.

Aufgaben

• Monitors coding & abstracting quality by conducting audits to ensure standards are met.
• Develops and implements educational tools for providers to accurately capture conditions.
• Tracks audits on coding vendors to ensure CMS data accuracy.

Kenntnisse

Communication

Leadership

Time management

Problem solving

Ausbildung

High School Diploma or GED

Tools

Epic

Allscripts

EZCap

Athena EHR

Jobbeschreibung

Alignment Health in Orange, CA seeks a HCC Coding Analyst to interface with provider partners, monitor and implement coding strategies, audit RAPS submissions, and ensure CMS data accuracy.

You will train staff, maintain tracking tools, collaborate with Risk Adjustment Management, and stay current with CMS-HCC models and ICD-9/ICD-10 changes. Requires 3+ years coding in medical group or health plan, and certifications.