HCC Coding Manager

12 hours ago

Remote, Oregon, United States Care Connectors Full time $120,000 - $150,000 per year

Position Summary:

CCMG is seeking an experienced HCC Coding Manager to lead our risk-adjustment coding operations, focused on chronic condition capture and Annual Wellness Visit (AWV) documentation. This role manages a team of domestic and offshore coders, drives coding quality and compliance, and partners with clinical and operational leaders to support accurate RAF outcomes.

Key Responsibilities:

Leadership & Team Management

  • Manage, mentor, and support a team of HCC coders, auditors, and offshore staff.

  • Set and monitor productivity, quality, and performance expectations.

  • Oversee daily workflows, staffing, and turnaround times.

Coding Accuracy & Compliance

  • Oversee ICD-10-CM coding for chronic conditions and risk-adjusted diagnoses.

  • Ensure compliance with CMS HCC guidelines, ICD-10 rules, Medicare Advantage, Medi-Cal, and ACA requirements.

  • Maintain coding accuracy through audits, reviews, and feedback cycles.

Quality Improvement & Training

  • Develop education programs for coders and providers to improve documentation quality and specificity.

  • Identify documentation gaps and collaborate with providers to improve MEAT criteria.

  • Support prospective and retrospective chart review projects.

Data, Reporting & Collaboration

  • Analyze coding accuracy, productivity, and HCC capture trends.

  • Prepare leadership-level reporting on audit outcomes and performance.

  • Collaborate with Revenue Cycle, HIM, Clinical Operations, and Quality teams.

  • Serve as a subject-matter expert on HCC, ICD-10-CM, and CMS updates.

Qualifications:

Required:

  • Active coding certification (CPC, CRC, CCS, or equivalent).

  • 10+ years of HCC / risk-adjustment & HEDIS coding experience.

  • Prior leadership or auditor experience.

  • Strong knowledge of ICD-10-CM, CMS HCC models, and risk-adjustment documentation rules.

Preferred:

  • Associate or Bachelor's degree in HIM or related field.

  • Experience with EMR/EHR platforms and coding tools (3M, Optum, EPIC, etc.).

  • Understanding of Medicare Advantage, Medi-Cal, ACA risk adjustment, and value-based care.

Skills & Competencies:

  • Strong attention to detail and accuracy.

  • Clear communication and strong coaching abilities.

  • Ability to manage multiple projects and deadlines.

  • Analytical mindset and comfort working with performance data.

Benefits:

  • Competitive salary and incentives.

  • Medical, dental, vision, and retirement benefits.

  • PTO and continuing education support.

  • Fully remote work environment.

Serious Inquiries only, and please only apply if you have 10 plus years in a role like this

Pay: $120, $140,000.00 per year

Benefits:

  • Dental insurance
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Work Location: Remote

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