Remote Medicare HCC Coding Analyst CRC Certified

Alignment Health; Northern (KY); Remote; USD 59,000 - 88,000; Full time

Job summary

Alignment Health is seeking a Remote Medicare HCC Coding Analyst with CRC certification to partner with provider networks, audit RAPS submissions, and implement HCC coding strategies for CMS data. The role emphasizes accuracy, compliance, and data integrity within a national remote framework.

The position requires 3+ years of medical coding experience, certification, and proficiency with EHR systems, with strong communication and analytical skills to support risk adjustment initiatives and

Qualifications

• Minimum 3+ years of coding in a medical group or health plan setting.
• Professional Coding experience required.
• Education: High School Diploma or GED.
• Licensure: Certified Coder required, HCC/Risk Adjustment experience, Experience with Athena EHR.

Responsibilities

• Monitor coding quality and conduct audits to ensure CMS data accuracy.
• Develop and update educational tools for providers to capture conditions accurately.
• Track and report progress of audits and coding accuracy within CMS submissions.
• Coordinate Risk Adjustment audit activities and support CMS Data Validation efforts.

Skills

Communication

Analytical thinking

Leadership

Problem solving

Organization

Education

High School Diploma or GED

Tools

Epic

Allscripts

EZCap

Athena EHR

MS Office

MS Access

Job description

Alignment Health is seeking a Remote Medicare HCC Coding Analyst with CRC certification to partner with provider networks, audit RAPS submissions, and implement HCC coding strategies for CMS data. The role emphasizes accuracy, compliance, and data integrity within a national remote framework.

The position requires 3+ years of medical coding experience, certification, and proficiency with EHR systems, with strong communication and analytical skills to support risk adjustment initiatives and