HCC Risk Adjustment Coder (ICD-10/CPT)

DaMar Staffing; Alhambra (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy.

You will review records for accuracy, educate staff on Medicare rules, and lead coding process improvements, with travel up to 10% for facility coverage as needed.

Qualifications

• BA degree in healthcare preferred and coding credentials preferred.
• 2+ years experience in healthcare coding and billing environment.
• Proficiency with ICD-10-CM, CPT, HCPCS and HCC coding and CMS rules.
• Strong communication, teamwork and ability to work independently.

Responsibilities

• Review medical records for accuracy, proper documentation, and coding completeness.
• Communicate with providers when documentation is unclear for coding purposes.
• Create training materials on Medicare coding guidelines, including HEDIS and Risk Adjustment HCC.
• Lead development and implementation of new coding processes and policies.
• Attend meetings and present department feedback with data analyses and workflows.
• Participate in coding and billing trainings and share debriefings with management.

Skills

EHR Proficiency

MS Office Proficiency

Excellent communication

ICD-10-CM / HCC coding

Billing rules knowledge

Teamwork / independent work

HIPAA/HITECH compliance

Reliable transportation

Travel 10% outside local area

Education

BA Degree in Healthcare

Coding Certificate (CCS, CPC)

2+ years Healthcare Coder experience

Tools

EHR Software

Job description

NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy.

You will review records for accuracy, educate staff on Medicare rules, and lead coding process improvements, with travel up to 10% for facility coverage as needed.