Remote Hcc Risk Adjustment Coding Jobs in Santa Clara, CA

About Sprinter Health

At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year.

By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway.

About the Role

As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment. You'll play a a critical role in maintaining our coding quality, compliance, and productivity standards.

What You Will Do...

• Review and abstract professional medical records, including provider notes, encounters, and supporting documentation.

• Assign ICD-10-CM, CPT, HCPCS, and applicable modifiers accurately, following national and payer-specific coding guidelines.

• Validate that all codes are supported by provider documentation; query providers for clarification when necessary.

• Maintain coding quality metrics (accuracy, productivity, and compliance) as defined by leadership.

• Participate in internal and external coding audits; provide feedback to improve documentation and coding processes.

• Stay current with updates to CPT, ICD-10, HCPCS, and CMS risk adjustment guidelines.

• Maintain confidentiality and adhere to all HIPAA and compliance standards.

You’ll Love this Job If:

• You take pride in accuracy and integrity, finding satisfaction in getting every detail right. 

• You’re motivated by mission as much as metrics — knowing your work directly supports better access to preventive and chronic care for patients nationwide. 

• You thrive in a tech-forward, fast-growing environment where innovation and continuous improvement are part of the daily rhythm. 

• You enjoy working independently in a remote setting while staying connected to a collaborative, purpose-driven team.

•  You see coding as more than data entry — it’s a way to translate complex clinical stories into meaningful information that drives quality care. 

• You’re naturally curious, proactive, and eager to stay current on coding updates, contribute feedback, and shape evolving processes. 

• Most of all, you value flexibility, accountability, and being part of a company that’s reimagining how healthcare reaches people where they are.

What We’re Looking For

• Certification: Active AAPC (e.g., CPC, COC) or AHIMA (CCS-P, CCS) certification.

• Experience: Minimum 3 years of Pro-Fee coding experience.

• Strong understanding of HCC / risk adjustment coding principles.

• Excellent command of medical terminology, anatomy, physiology, pathophysiology, disease progression, and pharmacology.

• Deep familiarity with CPT, ICD-10-CM, HCPCS, and modifier assignment.

• Ability to work independently and maintain productivity in a remote setting.

• Strong communication and problem-solving skills.

• Proficient in EHR systems, encoder/coding software, and Google tools.

• Reliable internet connection and dedicated, secure workspace.

• Review and abstract professional medical records, including provider notes, encounters, and supporting documentation.

Technologies We Use

• EMR: Elation

• Google Suite (docs, slides, sheets)

What we offer

• Medical, dental, and vision fully covered for you and your family

• 401(k) with company match

• Flexible PTO + flexible schedule

• Generous parental leave (4 months for birthing parent, 2 months for partners)

• Free daily lunch when onsite + stocked micro-kitchens

• Travel support for client meetings and conferences

Sprinter Health is an equal opportunity employer. We value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or other protected classes.