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Medical Coding Hcc Episource Jobs in Indiana (NOW HIRING)

Jj

Manager, HCC Spine CMF Sport & Trauma

Warsaw, IN

Experience in medical devices, pharmaceuticals, or life sciences industries. * Exposure ... Familiarity with industry codes such asAdvaMed. Other * Language: Englishrequired. * Travel: Up to ...

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Medical Coding Hcc Episource information

What are the key skills and qualifications needed to thrive as a Medical Coding HCC specialist at Episource, and why are they important?

To thrive as a Medical Coding HCC specialist at Episource, you need a strong understanding of ICD-10-CM coding, risk adjustment, and healthcare regulations, often demonstrated by a relevant certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and Episource-specific platforms is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for ensuring accurate code assignment and collaborating with clinical teams. These skills are essential to maximize coding accuracy, ensure compliance, and support proper reimbursement in value-based care environments.

What is the difference between Medical Coding Hcc Episource vs Medical Coding Specialist?

AspectMedical Coding Hcc EpisourceMedical Coding Specialist
CertificationsAHIMA or AAPC certifications, HCC coding trainingAHIMA or AAPC certifications, general coding credentials
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, physician offices, remote work possible
Industry UsageFocus on risk adjustment, HCC coding for Medicare AdvantageGeneral medical coding across various specialties

Medical Coding Hcc Episource specializes in risk adjustment coding, particularly HCC coding for Medicare Advantage plans, often requiring specific training. Medical Coding Specialist roles cover broader medical coding tasks across multiple healthcare settings. While both roles require coding certifications, Hcc Episource focuses on risk adjustment, making it more specialized compared to the general scope of Medical Coding Specialists.

What are Medical Coding HCC roles at Episource?

Medical Coding HCC (Hierarchical Condition Category) roles at Episource involve reviewing patient medical records to accurately assign diagnosis codes according to HCC guidelines. Coders play a crucial part in ensuring proper risk adjustment and compliance with healthcare regulations, which helps determine reimbursement rates for healthcare providers. These professionals must have a deep understanding of ICD-10-CM coding, medical terminology, and HCC risk adjustment models. At Episource, coders may work remotely or on-site, collaborating with other clinical and operational teams to maintain high standards of data accuracy and integrity.

What are some common challenges faced by Medical Coding HCC professionals at Episource and how can they be addressed?

Medical Coding HCC professionals at Episource often encounter challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and ensuring accuracy in risk adjustment documentation. To address these, it's important to engage in ongoing training, utilize company-provided resources, and collaborate closely with quality assurance teams. Regular communication with providers and other coders also helps clarify ambiguities and maintain coding accuracy, contributing to both personal development and overall team success.
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Medical Coding Hcc Episource jobs near you
Infographic showing various Medical Coding Hcc Episource job openings in Indiana as of June 2026, with employment types broken down into 88% Full Time, 3% Part Time, and 9% Contract. Highlights an 78% Physical, 5% Hybrid, and 17% Remote job distribution.

Manager, HCC Spine CMF Sport & Trauma

Jj

Warsaw, IN

Full-time

Medical, Retirement, PTO

Posted 2 days ago

Job description

At Johnson & Johnson,we believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented, treated, and cured,where treatments are smarter and less invasive, andsolutions are personal.Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.Learn more at jnj.com

As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit.

Job Function:

Legal & Compliance

Job Sub Function:

Health Care Compliance

Job Category:

Professional

All Job Posting Locations:

Raritan, New Jersey, United States of America, Raynham, Massachusetts, United States of America, Warsaw, Indiana, United States of America, West Chester, Pennsylvania, United States of America

Job Description:

DePuy Synthes is recruiting for a Manager, HCCRisk ManagementlocatedinRaritan, New Jersey, Raynham, Massachusetts, and Warsaw, Indiana, US.

The Manager,Health Care Compliance (HCC)RiskManagementisresponsible forexecuting centralized compliance risk management operationsforSpine/CMF/Sports & Trauma,such as monitoring, TPI due diligence,KPIs for Operational Excellence,and otherrisk management activities,aligned with global and regional compliance strategies.

The roleis key toassessingthe effectivenessof compliance controlsandcollaborates acrossthe HCC organizationtoprovidean ongoing pulse of the Compliance program andinsights that strengthen operational complianceand the overall Compliance Program.

Key Responsibilities

  • Assesseffectiveexecution of the U.S. HCCcomplianceprogram for Spine, CMF, Sports Medicine, and Trauma, aligned with company policies, industry codes,andapplicable healthcarelawsand regulations.

  • Executemonitoring activities in alignment with global and regional compliancestrategies andexpectations.

  • Prepareconsolidatedmonitoring summaries and contribute to periodic reporting for regional Compliance leadership.

  • ManageThird party intermediary due diligenceand red flag management, collaborating with respective compliance officers, Legal, Procurement, and Finance on complex or escalated cases.

  • Identifypatterns, themes, and emerging risks across monitoringand otheroutputs.

  • Provide compliance KPIs, metrics and insightsthat drive strategic decision making and continuous evolution of the Compliance program.

Qualifications

Education

  • Required:Bachelor's degree in business, healthcare,Finance,life sciences, law, orrelatedfield.

Experience and Skills

Required:

  • 4-7 years' experience in compliance, audit, risk management, or monitoring, with proven ability to analyze and interpret transactional data.

  • Working knowledge of U.S. healthcare laws and regulations (e.g.,AntiKickbackStatute, False Claims Act, Foreign Corrupt Practices Act (FCPA), etc.).

  • Strong analytical skills with the ability to interpret risk factors and make well-reasoned decisions.

  • Abilityto simplify complex data into executive-ready insights.

  • Strong analytical mindset with high attention to detail and ability toidentifytrends or anomalies.

  • Effective written and verbal communication skills, with the ability to influence stakeholders.

Preferred:

  • Experience in medical devices, pharmaceuticals, or life sciences industries.

  • Exposure toOrthopedics, Spine, Trauma, CMF, or Sports Medicine portfolios.

  • Experience supporting compliance monitoring,TPI due diligence, audit,investigations,orother risk management areas.

  • Familiarity with industry codes such asAdvaMed.

Other

  • Language:Englishrequired.

  • Travel:Up to 20-25% domestic travel.

  • Certifications:Compliance, legal, or ethics certifications (e.g., CHC) preferred but notrequired.

  • For more information on how we support the whole health of our employees throughout their wellness, career, and life journey, please visitwww.careers.jnj.com.

Johnson & Johnson announced plans to separate our Orthopaedics business to establish a standalone orthopaedics company, operating as DePuy Synthes. The process of the planned separation is anticipated to be completed within 18 to 24 months, subject to legal requirements, including consultation with works councils and other employee representative bodies, as may be required, regulatory approvals and other customary conditions and approvals. Should you accept this position, it is anticipated that, following conclusion of the transaction, you would be an employee of DePuy Synthes and your employment would be governed by DePuy Synthes employment processes, programs, policies, and benefit plans. In that case, details of any planned changes would be provided to you by DePuy Synthes at an appropriate time and subject to any necessary consultation processes.

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers, internal employees contact AskGS to be directed to your accommodation resource.

#LI-Hybrid

#DePuySynthesCareers

Required Skills:

Preferred Skills:

Audit Management, Complaints Investigation, Compliance Frameworks, Compliance Management, Consulting, Corporate Governance, Corrective and Preventive Action (CAPA), Healthcare Industry, Health Care Regulation, Interpersonal Influence, Legal Services, Medical Compliance, Organizing, Process Improvements, Program Management, Technical Credibility

The anticipated base pay range for this position is :

204,000 - 102,000 USD

Additional Description for Pay Transparency:

Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado -48 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Bereavement Leave - 240 hours for an immediate family member: 40 hours for an extended family member per calendar year Caregiver Leave - 80 hours in a 52-week rolling period10 days Volunteer Leave - 32 hours per calendar year Military Spouse Time-Off - 80 hours per calendar year For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits

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