HCC Coding Specialist (Remote)

Optima Medical Ltd; Scottsdale (AZ); Remote; USD 52,000 - 68,000; Full time

Job summary

Optima Medical Ltd in Arizona is seeking a Medical Coding Specialist to join our team. The role focuses on ICD-10-CM coding for risk adjustment and requires accuracy in a fast-paced environment.

The position starts onsite in Scottsdale for 30 days, after which it transitions to fully remote. Candidates must reside in Arizona and have a CPC or CRC certification with AHIMA or AAPC, and 1–2 years of Risk Adjustment coding experience.

Qualifications

• Minimum of 1 year of coding experience in Risk Adjustment (2 years preferred).
• Certification through AAPC or AHIMA (CPC, CRC) required; no CPC-A or CCA.
• Ability to maintain a high level of accuracy in a fast-paced production environment.
• High school diploma or equivalent.
• Proficiency in Microsoft Outlook, Word, and Excel.

Responsibilities

• Perform code abstraction of medical records and imaging to assign ICD-10-CM codes for HCC risk adjustment.
• Identify diagnosis and chart-level impairments and opportunities for documentation improvement.
• Suggest process improvements to enhance coding goals and outcomes.
• Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and regulations.
• Meet minimum productivity requirements as per project terms.
• Handle other related duties as required or assigned.

Skills

Communication skills

Microsoft Outlook

Microsoft Word

Microsoft Excel

Education

High school diploma or equivalent

Tools

Outlook

Word

Excel

Job description

Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona and Nevada by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team!

This role will transition to a fully remote position after your first 30 days. To be eligible, you’ll need to complete your initial 30 days onsite at our Scottsdale office and remain in good standing. Must reside in Arizona!

Job Responsibilities

• Perform code abstraction of medical records, diagnostic imaging, etc. to ensure ICD-10-CM codes to identify diagnoses relevant for HCC risk adjustment are accurately assigned and supported by clinical documentation
• Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education.
• Assist by making recommendations for process improvements to further enhance coding goals and outcomes.
• Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations.
• Meet minimum productivity requirements as outlined by the project terms.
• Handle other related duties as required or assigned

Job Qualifications

• Minimum of 1 year of coding experience in Risk Adjustment. (2 years preferred)
• Must have a coding certification through AAPC or AHIMA (CPC, CRC, etc.), NO CPC-A or CCA
• Ability to consistently maintain a high level of accuracy working in a fast-paced production environment.
• High school diploma or equivalent.
• High level of competency in Microsoft Outlook, Word, and Excel.
• Strong written and verbal communication skills.
• Works independently under regular supervision.
• Must live in Arizona.

Why Join Our Team

• Leadership and mentoring.
• Supportive and positive work culture