HCC Coding Specialist

MedPOINT Management

HCC Coding Specialist

Sherman Oaks, CA
Full Time
Paid
  • Responsibilities

    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.