Remote HCC Coding Specialist — Risk Adjustment Expert

Medpoint Management; Los Angeles (CA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

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

Job summary

MedPOINT Management in Sherman Oaks, CA seeks a detail-oriented HCC Coding Specialist to ensure accurate risk adjustment coding and compliant documentation. You’ll review medical records, collaborate with clinicians, and stay current with CMS guidelines to support payer programs.

The role offers flexible work-from-home options and opportunities for advancement within a growing managed care team focused on quality documentation and risk adjustment success.

Qualifications

• Certified Professional Coder (CPC), CRC or equivalent
• Minimum 2+ years of experience in HCC coding and/or risk adjustment
• Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC models
• Experience with medical record review in managed care or health plan environment preferred
• Proficiency with EHRs and coding software, attention to detail and compliance
• Strong communication skills for cross-functional collaboration

Responsibilities

• Review and analyze medical records to assign accurate HCC codes
• Ensure documentation of chronic conditions and risk adjustment diagnoses per CMS guidelines
• Conduct retrospective and prospective chart reviews to identify coding gaps
• Collaborate with physicians and clinical staff to clarify documentation
• Prepare and submit coding findings and reports to support risk adjustment programs
• Stay current with ICD-10-CM updates and payer-specific requirements
• Support audit processes and respond to coding queries timely

Skills

CPC/CRC certification

HCC coding experience

ICD-10-CM knowledge

EHR proficiency

communication & collaboration

Tools

EHR systems

coding software

Job description

MedPOINT Management in Sherman Oaks, CA seeks a detail-oriented HCC Coding Specialist to ensure accurate risk adjustment coding and compliant documentation. You’ll review medical records, collaborate with clinicians, and stay current with CMS guidelines to support payer programs.

The role offers flexible work-from-home options and opportunities for advancement within a growing managed care team focused on quality documentation and risk adjustment success.