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Catalyst Clinical Coding Analytics Jobs in New York

Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel ... Collaborate with clinical, coding, and compliance teams to improve documentation and coding for ...

The technical work -- annotation at scale, prompt and rule iteration, and label-quality analysis -- is carried out using AI-assisted development tools; we will train the right clinical coding expert ...

We're a well-funded Series C company (backed by General Catalyst, SignalFire, and Sapphire Ventures ... Clinical & Coding Knowledge * Working knowledge of CPT, ICD-10, and HCPCS coding conventions. Soft ...

We're a well-funded Series C company (backed by General Catalyst, SignalFire, and Sapphire Ventures ... Clinical & Coding Knowledge * Working knowledge of CPT, ICD-10, and HCPCS coding conventions. Soft ...

Medical Coding Analyst

Garden City, NY · On-site

$65K - $75K/yr

The Coding Analyst will provide Risk Adjustment/HCC coding and auditing services that include the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into ...

Hybrid Coding Educator

New York, NY

$29.75 - $34/hr

Responsible for CDI (Clinical Documentation Improvement) guidelines. * Performs charge audits through review of chart notes and assigns correct procedure and diagnosis codes. * Review and analyze new ...

Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel ... Collaborate with coding, compliance, and clinical teams. Address documentation gaps and improve ...

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Catalyst Clinical Coding Analytics information

What is the difference between Catalyst Clinical Coding Analytics vs Clinical Coding Specialist?

AspectCatalyst Clinical Coding AnalyticsClinical Coding Specialist
CertificationsTypically requires coding certifications (e.g., CPC, CCS)Requires coding certifications (e.g., CPC, CCS)
Work EnvironmentData analysis, reporting, and coding review in healthcare settingsAssigns codes to patient records in healthcare facilities
Industry UsageUsed in healthcare analytics, revenue cycle managementUsed in hospitals, clinics, and healthcare providers

Both roles require coding certifications and work within healthcare environments, but Catalyst Clinical Coding Analytics focuses on data analysis and reporting, while Clinical Coding Specialists primarily assign codes to patient records. Understanding these differences helps clarify career paths and employer expectations in healthcare coding and analytics.

What are popular job titles related to Catalyst Clinical Coding Analytics jobs in New York? For Catalyst Clinical Coding Analytics jobs in New York, the most frequently searched job titles are:
What job categories do people searching Catalyst Clinical Coding Analytics jobs in New York look for? The top searched job categories for Catalyst Clinical Coding Analytics jobs in New York are:
What cities in New York are hiring for Catalyst Clinical Coding Analytics jobs? Cities in New York with the most Catalyst Clinical Coding Analytics job openings:

HCC Coding Leader - Risk Adjustment

Mercor

New York, NY • Remote

$110/hr

Full-time

Posted 29 days ago


Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Risk-adjustment / HCC coding leader
Type: Contract
Compensation: $110/hour
Location: Remote

Role Responsibilities

  • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
  • Manage RADV audit preparation and response processes.
  • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.

Qualifications

Must-Have

  • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role.
  • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
  • Experience with RADV audit preparation and CMS compliance requirements.
  • Familiarity with RAPS and EDGE submission processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.

Preferred

  • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
  • Experience with risk adjustment analytics platforms and chart retrieval systems.
  • Background in health plan, Medicare Advantage organisation, or value-based care setting.
  • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
  • Experience presenting risk adjustment performance to actuarial or executive teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.