HCC Coding Specialist
Sherman Oaks, CA ยท On-site
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 ...
Sherman Oaks, CA ยท On-site
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 ...
Sherman Oaks, CA ยท On-site
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 ...
Sherman Oaks, CA ยท On-site
$75K - $95K/yr
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 ...
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Sherman Oaks, CA ยท On-site
$75K - $95K/yr
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 ...
Burlingame, CA ยท On-site
$42.79 - $48.75/hr
Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant ...
Burlingame, CA ยท On-site
$42.79 - $48.75/hr
Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant ...
Burlingame, CA ยท On-site
$42.79 - $48.75/hr
HCC Coding and Risk Adjustment (RA) Program Support * Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
Burlingame, CA ยท On-site
$42.79 - $48.75/hr
HCC Coding and Risk Adjustment (RA) Program Support * Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
Burlingame, CA ยท Remote
$42.79 - $48.75/hr
HCC Coding and Risk Adjustment (RA) Program Support * Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
Burlingame, CA ยท Remote
$42.79 - $48.75/hr
HCC Coding and Risk Adjustment (RA) Program Support * Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
Burlingame, CA ยท Remote
$42.79 - $48.75/hr
HCC Coding and Risk Adjustment (RA) Program Support * Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
Burlingame, CA ยท Remote
$42.79 - $48.75/hr
HCC Coding and Risk Adjustment (RA) Program Support * Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
Sacramento, CA ยท On-site
$41.85/hr
Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works ...
Sacramento, CA ยท On-site
$41.85/hr
Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works ...
Los Angeles, CA ยท On-site
$29.44 - $40.46/hr
Claims Examiner Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los ...
Los Angeles, CA ยท On-site
$29.44 - $40.46/hr
Claims Examiner Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los ...
Los Angeles, CA ยท On-site
$25.44 - $34.97/hr
Underwriting Assistant Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an impactful opportunity for an Underwriting Assistant at our Los Angeles, CA home office.
Los Angeles, CA ยท On-site
$25.44 - $34.97/hr
Underwriting Assistant Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an impactful opportunity for an Underwriting Assistant at our Los Angeles, CA home office.
Los Angeles, CA ยท On-site
$25.44 - $34.97/hr
Office and Facilities Coordinator Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for an Office and Facilities Coordinator at our Los Angeles, CA ...
Los Angeles, CA ยท On-site
$25.44 - $34.97/hr
Office and Facilities Coordinator Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for an Office and Facilities Coordinator at our Los Angeles, CA ...
Stay current with CMS updates, HCC model changes, and risk adjustment regulatory requirements. * Assist in developing workflow improvements for documentation, coding, and data submission. * Performs ...
Stay current with CMS updates, HCC model changes, and risk adjustment regulatory requirements. * Assist in developing workflow improvements for documentation, coding, and data submission. * Performs ...
Pasadena, CA ยท On-site
$100K - $150K/yr
Maintain deep expertise in CMS-HCC model updates (e.g., V24 vs. V28), RxHCC methodology for Medicare Part D, and HHS-HCC annual model recalibrations, including normalization factors, coding intensity ...
Quick apply
Pasadena, CA ยท On-site
$100K - $150K/yr
Maintain deep expertise in CMS-HCC model updates (e.g., V24 vs. V28), RxHCC methodology for Medicare Part D, and HHS-HCC annual model recalibrations, including normalization factors, coding intensity ...
Victorville, CA ยท On-site
$100K - $140K/yr
Identify and accurately document chronic conditions for HCC risk adjustment * Perform thorough medication reconciliation and patient education * Collaborate with primary care providers and care ...
Victorville, CA ยท On-site
$100K - $140K/yr
Identify and accurately document chronic conditions for HCC risk adjustment * Perform thorough medication reconciliation and patient education * Collaborate with primary care providers and care ...
Victorville, CA ยท On-site
$100K - $140K/yr
Identify and accurately document chronic conditions for HCC risk adjustment * Perform thorough medication reconciliation and patient education * Collaborate with primary care providers and care ...
Victorville, CA ยท On-site
$100K - $140K/yr
Identify and accurately document chronic conditions for HCC risk adjustment * Perform thorough medication reconciliation and patient education * Collaborate with primary care providers and care ...
Oakland, CA ยท On-site
$123.09 - $184.80/hr
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review of clinical evidence and in strict adherence to CMS and HHS guidelines, payer requirements, and ...
Oakland, CA ยท On-site
$123.09 - $184.80/hr
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review of clinical evidence and in strict adherence to CMS and HHS guidelines, payer requirements, and ...
Los Angeles, CA ยท On-site
$18.42 - $25/hr
She will ensure that the HCC Ladies Locker Room meets Club standards for luxury, service and cleanliness and provide a welcoming and helpful presence. The Ladies Locker Room Attendant will read ...
Los Angeles, CA ยท On-site
$18.42 - $25/hr
She will ensure that the HCC Ladies Locker Room meets Club standards for luxury, service and cleanliness and provide a welcoming and helpful presence. The Ladies Locker Room Attendant will read ...
Encino, CA ยท On-site
$46K - $64K/yr
Tokio Marine HCC is an equal opportunity employer that values diversity and inclusion. We offer competitive compensation, comprehensive benefits, and professional growth opportunities within a global ...
Encino, CA ยท On-site
$46K - $64K/yr
Tokio Marine HCC is an equal opportunity employer that values diversity and inclusion. We offer competitive compensation, comprehensive benefits, and professional growth opportunities within a global ...
Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC (Hierarchical Condition Category) guidelines. * Monitor and report RAF score trends across assigned ...
Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC (Hierarchical Condition Category) guidelines. * Monitor and report RAF score trends across assigned ...
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review of clinical evidence and in strict adherence to CMS and HHS guidelines, payer requirements, and ...
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review of clinical evidence and in strict adherence to CMS and HHS guidelines, payer requirements, and ...
Oakland, CA ยท On-site
$123K - $184K/yr
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review of clinical evidence and in strict adherence to CMS and HHS guidelines, payer requirements, and ...
Oakland, CA ยท On-site
$123K - $184K/yr
Assign ICD-10-CM codes, including Hierarchical Condition Categories (HCC), based on thorough review of clinical evidence and in strict adherence to CMS and HHS guidelines, payer requirements, and ...
$22.40 is the 25th percentile. Wages below this are outliers.
$15.42 - $24.33
32% of jobs
The median wage is $33.23 / hr.
$24.33 - $33.23
18% of jobs
$33.23 - $42.14
11% of jobs
$42.14 - $51.05
10% of jobs
$56.06 is the 75th percentile. Wages above this are outliers.
$51.05 - $59.96
9% of jobs
$59.96 - $68.86
17% of jobs
$68.86 - $77.77
3% of jobs
$77.77 - $86.68
0% of jobs
$86.68 - $95.58
0% of jobs
$95.58 - $104.49
0% of jobs
$104.49 - $113.40
1% of jobs
$15
$44
$113
| Aspect | Hcc | Medical Coder |
|---|---|---|
| Required Credentials | HCC certification, coding experience | Medical coding certification (CPC, CCS) |
| Work Environment | Healthcare facilities, insurance companies | Hospitals, clinics, billing companies |
| Industry Usage | Risk adjustment, insurance, Medicare | Medical billing, documentation, coding |
| Common Search/Comparison | Hcc vs Medical Coder |
HCC (Hierarchical Condition Category) specialists focus on risk adjustment coding for insurance and Medicare, requiring specific certifications and experience. Medical coders handle clinical documentation coding for billing and reimbursement. While both roles involve coding, HCC professionals primarily work in risk adjustment and insurance settings, whereas medical coders work across healthcare providers for billing purposes.

Other
Medical, Dental, Vision, Retirement, PTO
Posted 6 days ago
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.
This is a remote position.
Sourced by ZipRecruiter
Outpatient health care
501 - 1,000 Employees
Sherman Oaks, CA, US
1988