Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

HCC Risk Adjustment Coder (ICD-10-CM/CPT)

Northeast Community Clinic

Northeast Community Clinic is seeking an HCC Coder to evaluate accuracy and consistency of coded clinical data, collaborating with Billing Manager and Medical Director on ICD-10-CM, CPT, E/M, and documentation to ensure compliant outpatient coding. The role involves reviewing medical records, training staff on Medicare coding guidelines with emphasis on HEDIS and Risk Adjustment HCC, and leading coding process improvements. Some evening/weekend hours may be required in a full-time capacity. #J-18808-Ljbffr Northeast Community Clinic

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the HCC Risk Adjustment Coder (ICD-10-CM/CPT) in Alhambra, CA vacancy
  • NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation...  ...Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy... 
    Cms
    Risk

    DaMar Staffing

    Alhambra, CA
    4 days ago
  • $34 - $39 per hour

     ...HCC Coder Administration Office - Alhambra, CA 91801 Overview Salary Range $3...  ...classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to...  ...Quality Measures with focus on HEDIS and Risk Adjustment HCC. Lead the development and... 
    Cms
    Risk
    Hourly pay
    Full time
    Work at office
    Local area
    Flexible hours
    Weekend work
    Afternoon shift

    Northeast Community Clinic

    Alhambra, CA
    1 day ago
  •  ...Health Management is seeking a Certified Risk Coder for a remote, US-based role to support value-based care and CMS risk adjustment initiatives. The successful candidate will review records, validate ICD-10-CM codes, and perform HCC coding analyses to improve... 
    Cms
    Risk
    Remote job

    Astrana Health Management

    Monterey Park, CA
    5 days ago
  • Cedars-Sinai is looking for a Claims Edit Coder (Coder II) in Los Angeles to ensure accurate coding for claims. You will work with...  ...complex coding edits while ensuring data integrity. Proficiency in ICD-10-CM, CPT, and healthcare coding processes is essential. The ideal... 
    Cms

    Cedars-Sinai

    Los Angeles, CA
    4 days ago
  • Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to support our Houston market while working remotely in CST/EST...  ..., audits, and metrics tracking, mentor new staff, and stay current with ICD-10 and HCC updates. #J-18808-Ljbffr Astrana Health, Inc.
    Cms
    Risk
    Remote job

    Astrana Health, Inc.

    Monterey Park, CA
    3 days ago
  • $70k - $85k

     ...currently seeking a highly motivated Risk Adjustment Coding Specialist to support...  ...performance metrics—such as HCC recapture rates, AWVs, and...  ...of medical records to ensure ICD-10- CM codes are accurately assigned...  ...assignments. Supports coder training and orientation as requested... 
    Cms
    Risk
    Remote job
    Live in
    Work at office
    Home office

    Astrana Health, Inc.

    Monterey Park, CA
    a month ago
  • $56k - $85k

     ...Description The Certified Risk Coder plays a critical role in supporting...  ...'s value-based care and risk adjustment initiatives by ensuring the...  ...and prospective HCC coding reviews to identify documentation...  ...coding opportunities Validate ICD-10-CM codes and ensure diagnoses... 
    Cms
    Risk
    Work at office
    Remote work

    Astrana Health, Inc.

    Monterey Park, CA
    2 days ago
  • Signature Performance is seeking an experienced Inpatient Medical Coder to interpret health records and assign ICD-10-CM diagnoses and ICD-10-PCS procedures for complex inpatient discharges. The role requires reviewing provider notes, applying Coding Clinic guidelines,... 
    Cms
    Remote job

    Signature Performance

    Los Angeles, CA
    21 hours ago
  •  ...This role will lead National Health Plan Risk Adjustment analytics, benchmarking, encounter submission...  ...CMS and state regulations, including HCC coding, RADV audits, and risk score submissions...  ...Qualifications:ExperienceMinimum ten (10) years of experience in healthcare risk... 
    Cms
    Risk

    Kaiser Permanente

    Pasadena, CA
    1 day ago
  •  ...DESCRIPTION JOB TITLE: Sr. Manager, Risk Adjustment FLSA STATUS: Exempt DEPARTMENT: Quality...  ..., including Medicare Advantage (CMS-HCC), Marketplace (HHS-HCC), and RxHCC models...  ...REQUIRED): Certified Risk Adjustment Coder (CRC) — AAPC Certified Professional Coder... 
    Cms
    Risk
    Work at office
    Shift work

    Imperial Management Administrators Services Inc

    Pasadena, CA
    22 days ago
  • $65.8k - $130.8k

     ...required : CPC (Certified Professional Coder - AAPC) Bachelor's degree in Health...  ...environment Demonstrated knowledge of ICD-10, CPT, and HCPCS coding systems and...  ...(Certified in Healthcare Compliance), HCC (Risk Adjustment Coding Certification) or Specialty Certification... 
    Cms
    Risk
    Work at office

    University of California - Los Angeles Health

    Los Angeles, CA
    3 days ago
  •  ...charts pass the SMART cycle and are adjusted as needed. The HIM Coding Specialist...  ...must have a comprehensive knowledge of ICD-10-CM, ICD-10 PCS, CPT conventions in accordance with Official...  ...productivity reports on all coders. Educates and trains coding staff... 
    Cms
    Work at office

    AHMC Healthcare

    San Gabriel, CA
    4 days ago
  •  ...collaboratively with providers, coders, quality, and...  ...s severity of illness, risk of mortality, quality outcomes...  ..., Compliance & Risk Adjustment Support quality...  ...hierarchical condition category (HCC) capture where...  ...clinical indicators ~2) ICD-10-CM/PCS coding concepts ~... 
    Cms
    Risk
    Full time
    Work experience placement
    Local area
    Shift work

    Hollywood Presbyterian

    Los Angeles, CA
    23 days ago
  • $71.7k - $105k

     ...providers, interdisciplinary care teams, and risk adjustment stakeholders to ensure documentation...  ...and care teams to support compliant CMS-HCC capture and sustainable documentation...  ...medical records. Foundational knowledge of ICD-10-CM coding principles and their relationship... 
    Cms
    Risk

    myPlace Health

    Los Angeles, CA
    5 days ago
  • $88.85k

     ...rationales supporting approval, denial, or adjustment decisions. Maintain productivity and...  ...policies. Working knowledge of CPT/HCPC Codes, and ICD-10. Proficient in claims processing systems...  ...ability to identify discrepancies, assess risk, and recommend actionable solutions.... 
    Cms
    Risk
    Full time

    LOS Angeles Care Health Plan

    Los Angeles, CA
    1 day ago
  •  ...improvement. Assists staff in identifying high-risk accounts and prioritizing resolution...  ..., high volume denials, credits, adjustments, and undistributed balances, etc. in...  .... Maintains superior understanding of CPT/HCPCS codes, ICD-10 codes, CMS 1500 form guidelines, eligibility... 
    Cms
    Risk

    Hire Talent

    Baldwin Park, CA
    4 days ago
  • A prominent healthcare institution in California is seeking an experienced Coder II for a remote position. The role involves assigning ICD-10-CM and CPT codes for patient services. Candidates must have a CPC certification and familiarity with multi-specialty surgical coding... 
    Cms
    Remote job

    Cedars-Sinai

    Los Angeles, CA
    2 days ago
  •  ...CSMC and Cedars-Sinai Affiliates and their locations) assigns ICD-10-CM and CPT codes for patients receiving services at CSMC. Accurately...  ...reimbursement and the highest quality data possible Duties of this Coder II include: Performs accurate and timely coding (CPT,... 
    Cms
    Remote work

    Cedars-Sinai

    Los Angeles, CA
    1 day ago
  • $47.6 - $62.78 per hour

     ...UCLA Health, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology...  ..., and procedures. You will assign ICD-10-CM and CPT/HCPCS codes for patients receiving...  ...more years of experience as an outpatient coder, acute care hospital experience preferred... 
    Cms
    Hourly pay
    Daily paid
    Work at office

    University of California

    Los Angeles, CA
    4 days ago
  • # Coder - OutpatientHighmark Health · Los Angeles, CATailor My ResumeStart free. No credit...  ...apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing...  ...and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (... 
    Cms

    QuickCruit

    Los Angeles, CA
    3 days ago
  •  ...you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of...  ...team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position... 
    Cms
    Hourly pay
    Local area

    Cedars-Sinai

    Los Angeles, CA
    4 days ago
  •  ...the Position: The Revenue Cycle Medical Coder II is responsible for assigning diagnosis...  ...tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two...  ...Terminology as basic building blocks for ICD-10-CM coding. • Compiles, reviews and... 
    Cms
    Work at office

    Pediatric Management Group

    Los Angeles, CA
    9 days ago
  • Cedars-Sinai is seeking a Clinical Documentation Specialist to independently perform clinical chart reviews on risk-adjustable patient populations. The role applies clinical knowledge to correlate diagnoses for the PCP to consider during face-to-face visits and to track... 
    Cms
    Risk

    Cedars-Sinai

    Los Angeles, CA
    2 days ago
  •  ...in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The...  ...before claims move forward.• Apply ICD-10 and CPT coding standards to surgical and designated...  ...coding accuracy, escalating unusual or high-risk issues when necessary.• Support... 
    Risk
    Remote work
    Monday to Friday

    Robert Half

    Los Angeles, CA
    1 day ago
  • $80 per hour

     ...integrity processes Monitor and maintain compliance with CPT, HCPCS, ICD-10, CMS, and payer requirements Conduct CDM audits and identify...  ...billing discrepancies, denials trends, and compliance risks Drive process improvement initiatives that enhance operational... 
    Cms
    Risk
    Contract work
    Remote work
    Flexible hours

    The Wilshire Group

    Los Angeles, CA
    6 days ago
  • $50 - $65 per hour

     ...Monitor project schedules, identify risks and potential delays, and work...  ...of construction management (CM) or project management (PM)...  ...commercial construction, OR at least 10 years of PM experience if...  ...accommodation, such as the modification or adjustment of the job application process... 
    Cms
    Risk
    Contract work
    Temporary work
    For contractors
    For subcontractor
    Work at office

    Actalent

    Pasadena, CA
    3 days ago
  •  ...appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical...  ...in an acute care setting. Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines. Experience using encoder and electronic... 
    Cms
    Risk
    Work at office

    Emanate Health

    West Covina, CA
    1 day ago
  •  ...practice in Glendale is seeking a full-time Certified OB/GYN Coder to join our team. The ideal candidate will have 2-3 years of OB...  ...medical records, procedures, surgeries, and office visits using ICD-10-CM, CPT, and HCPCS codes Assign appropriate diagnosis and procedure... 
    Cms
    Full time
    Work at office

    Genesis OB/GYN

    Glendale, CA
    15 days ago
  • $28 - $32 per hour

     ...Ops What You'll Do Analyze, process, research, adjust and adjudicate claims with the use of accurate procedure/revenue and ICD-10 codes, under the correct provider and member...  ...preferred Must be familiar with ICD-10, HCPCS, CPT coding, APC, ASC and DRG pricing, CMS, DMHC... 
    Cms
    Hourly pay
    Full time
    Work at office

    Astrana Health

    Monterey Park, CA
    3 days ago
  • About the job Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. Weare deeply rooted...  ...outpatient E/M services. Thorough knowledge of medical terminology, ICD-10-CM and CPT4 coding necessary. Understanding of both the medical... 
    Cms
    Remote job

    Feed My People Food Bank

    Los Angeles, CA
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to HCC Risk Adjustment Coder (ICD-10-CM/CPT). Be the first to apply!