HCC Risk Adjustment Coder / San Diego - Hybrid / Full Time (JR543) bei Sharp Community Medical Group
Sharp Community Medical Group · San Diego, Vereinigte Staaten Von Amerika · Hybrid
- Senior
- Optionales Büro in San Diego
Title: HCC Coder
Location: San Diego - Hybrid. At least 1 meeting a month in person.
Salary Range: $28.00 - $38.64 (Depending on experience
Position Overview: We are seeking a highly skilled and dedicated Senior HCC Risk Adjustment Coding to join our team. This role is ideal for a certified professional coder with over 5 years of responsibilities in medical billing and coding, including more than 5 years of responsibilities in HCC risk adjustment and 4 years of leadership responsibilities. The ideal candidate will bring deep expertise in CMS risk adjustment models, chart auditing, team mentorship, and provider education, with a strong commitment to compliance and performance improvement.
Key Responsibilities:
- Lead and oversee daily workflows and annual projects for the HCC Coding Department
- Implement and optimize coding processes to improve HCC risk scores and ensure compliance
- Provide strategic guidance and education to Providers on HCC documentation and capture
- Conduct daily chart audits and data mining to identify coding gaps and opportunities
- Monitor Optum and CMS reports to track performance and ensure accurate submissions • Mentor and train new HCC coders, fostering a culture of continuous learning
- Collaborate with leadership to align coding strategies with organizational goals
- Ensure adherence to all CMS risk adjustment documentation requirements
- Support RADV audits and internal compliance reviews
- Participate in hiring and onboarding processes for coding team members
Qualifications:
- CPC Certification (AAPC) required
- 5+ years of responsibilities in medical billing and coding
- 5+ years of responsibilities in HCC risk adjustment coding
- 4+ years of leadership responsibilities within a coding department
- Proficient in ICD-10, CPT, HCPCS, and Microsoft Office Suite
- Strong communication and organizational skills
- Proven ability to work independently in a remote environment
- Deep understanding of CMS risk adjustment models and reporting
What We Offer:
- Healthcare, Dental, Vision
- Retirement Plan
- Paid Time Off
Metis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.
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