Certified Medicare HCC Coding Analyst

Job Summary

To support a growing team, the full-time Certified Medicare HCC Coding Analyst will monitor and implement HCC coding strategies, conduct audits on RAPS submissions for accuracy, and provide coding expertise while working remotely.

Key responsibilities

• Conduct ongoing audits to ensure coding quality and performance improvement standards are met
• Develop and enhance educational tools for providers to accurately capture acute and chronic conditions
• Track and report on coding vendor audits to assure data accuracy submitted to CMS

Required qualifications

• Minimum of 3 years of coding experience in a medical group or health plan setting
• High School Diploma or GED required; Certified Coder certification mandatory
• Experience with HCC/Risk Adjustment coding and Athena EHR
• Ability to communicate effectively and collaborate with diverse teams
• Proficient in mathematical calculations and report analysis