HCC Coding Specialist Hybrid - US

MedPOINT Management

HCC Coding Specialist

Full Time • Hybrid - US
Benefits:
  • 401(k)
  • 401(k) matching
  • Bonus based on performance
  • Company parties
  • Dental insurance
  • Employee discounts
  • Free food & snacks
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
  • Vision insurance
  • Wellness resources
About the Role:
MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented HCC Coding Specialist to join our growing team. This is an exciting opportunity to play a critical role in risk adjustment accuracy and quality healthcare documentation. If you're passionate about medical coding and making a meaningful impact in managed care, we want to hear from you!


Responsibilities:
  • Review and analyze medical records to assign accurate HCC (Hierarchical Condition Category) codes
  • Ensure proper documentation of chronic conditions and risk adjustment diagnoses in compliance with CMS guidelines
  • Conduct retrospective and prospective chart reviews to identify coding gaps and opportunities
  • Collaborate with physicians and clinical staff to clarify documentation and support coding accuracy
  • Prepare and submit coding findings and reports to support risk adjustment programs
  • Stay current with ICD-10-CM coding updates, CMS risk adjustment models, and payer-specific requirements
  • Support audit processes and respond to coding queries in a timely manner
Requirements:
  • Certified Professional Coder (CPC), CRC, or equivalent coding certification required
  • Minimum 2+ years of experience in HCC coding and/or risk adjustment
  • Strong working knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment models
  • Experience with medical record review in a managed care or health plan environment preferred
  • Proficiency with electronic health records (EHR) and coding software
  • Exceptional attention to detail and commitment to coding accuracy and compliance
  • Strong communication skills with the ability to work collaboratively across clinical and administrative teams
About Us:
MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to supporting high-quality, coordinated patient care across Southern California. Our provider partners and health plan clients trust us for our expertise, integrity, and commitment to operational excellence. We foster a collaborative and supportive work environment where talented professionals can thrive and grow their careers in healthcare management.

Flexible work from home options available.

Compensation: $75,000.00 - $95,000.00 per year




(if you already have a resume on Indeed)

Or apply here.

* required fields

Location
Or
Or
If no code provided, add their name instead.
Privacy Policy