Senior HCC Coding & Risk Adjustment Analyst

Altais; United States; Remote; USD 34,000 - 41,000; Full time

Benefits offered by this job

Excellent medical, vision, and dental

401k with company match

Flexible time off

9 Paid Holidays

Job summary

Altais is seeking a Senior Coding Analyst, Risk Adjustment to code medical records for HCC reimbursement, support clinical documentation improvement, and collaborate with physicians and provider networks. This role drives accuracy, training, and audits across Medicare Advantage programs and related projects.

You will interact with physicians and internal stakeholders, develop analytics, and serve as SME for HCC coding policies, while supporting production targets and compliance standards in a

Qualifications

• HCC coding experience is required.
• Auditing and chart review for HCC coding.
• Experience working with physicians and provider networks.
• Medicare Risk Adjustment experience preferred.

Responsibilities

• Review, audit, and code medical records for HCC reimbursement, training and compliance.
• Meet daily HCC coding targets with high accuracy.
• Audit medical docs for ICD-10 and HCC coding accuracy.
• Query physicians when codes are not straightforward.
• Annual review of HCC/ICD-10 codes and implement changes.
• Assist physicians with questions on HCC coding and documentation.
• Support HCC coding audits (IDV/RADV/OIG/DMHC).
• Serve as a resource to team members and physician offices.
• Role may allocate 50%+ time to production targets.

Skills

HCC coding

Auditing

Physician collaboration

Project management

Education

High school diploma or GED

Tools

EPIC EMR

Job description

Altais is seeking a Senior Coding Analyst, Risk Adjustment to code medical records for HCC reimbursement, support clinical documentation improvement, and collaborate with physicians and provider networks. This role drives accuracy, training, and audits across Medicare Advantage programs and related projects.

You will interact with physicians and internal stakeholders, develop analytics, and serve as SME for HCC coding policies, while supporting production targets and compliance standards in a