HCC Certified Coder

1 month ago


Orange, California, United States Alignment Healthcare Full time
Job Summary

Alignment Healthcare is seeking a highly skilled HCC Certified Coder to join our team. As a Risk Adjustment Specialist, you will play a critical role in ensuring the accuracy and quality of our coding data, which is essential for our company's success.

Key Responsibilities
  • Monitor and audit coding quality to ensure compliance with industry standards and regulations.
  • Develop and implement educational tools for providers to accurately capture acute and chronic conditions.
  • Track and report progress of coding audits to ensure data accuracy and quality.
  • Collaborate with Risk Adjustment Management to ensure completeness and accuracy of submissions to CMS.
  • Maintain a comprehensive tracking and management tool for assigned IPA's within our healthcare provider network.
  • Ensure compliance with all applicable federal, state, and local regulations, as well as institutional standards and practices.
  • Support the Risk Adjustment and STARs Management Team in scheduling and training activities.
  • Participate in SCITs and education meetings to stay current on industry coding and compliance issues.
Requirements
  • Three to five years of coding experience in a medical group or health plan setting.
  • Professional coding certification, such as CCS, CCS-P, or CPC.
  • Experience with HEDIS abstractions and risk adjustment coding initiatives.
  • Proficient user of MS Office suite and MS Access.
What We Offer

Alignment Healthcare offers a competitive salary range of $54,000 to $81,100 annually, depending on experience. We are an equal opportunity employer and welcome applications from diverse candidates.


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