Utah Licensed HCC Coding Analyst

Job Summary

To support risk adjustment initiatives, the full-time Utah Licensed HCC Coding Analyst will audit clinical documentation for accuracy in coding practices related to Medicare Advantage, Medicaid, and the Affordable Care Act while working remotely.

Key responsibilities

• Reviews clinical documentation to ensure compliance with CMS guidelines and accurate reimbursement
• Assists higher-level analysts with research and departmental functions as needed
• Documents chart review results in a Risk Adjustment database for reporting purposes

Required qualifications

• National Professional Coding Certification from AHIMA or AAPC
• Some work or education experience in medical coding or healthcare
• Functional knowledge of medical terminology, acronyms, anatomy, and physiology
• Completion of internal CRC training and competency evaluation within one year of hire
• Certified Risk Adjustment Coder (CRC) through AAPC must be obtained within one year of hire