Job Responsibilities:

• Works as a member of the Coding and Documentation Department
• Works with Coding and Documentation team members in collecting and reporting data for HCC and risk adjustment programs
• Downloads reports from data analytics applications
• Assists in maintenance of HCC network files including Medical Records Database
• Processes claims through EZ Cap to add HCC codes abstracted by certified coders
• Coordinates meetings for provider and staff education
• Responsible for sending/receiving correspondence to/from Provider Offices
• Responsible for requesting and obtaining medical records from providers to support audits required for organizational initiatives and as requested by Health Plans and the
• U.S. Department of Health & Human Services
• Excellent computer skills and ability to navigate MS Office applications and

Knowledge, Skills & Experience Required:

• A minimum of 3 years’ experience in healthcare office administration or relatedhealthcare capacity
• Familiarity with HIPAA regulations involving protected health information and technical safeguards
• Proficient in Microsoft Office (intermediate Excel, Word, PowerPoint, OneDrive, SharePoint, Outlook, and Teams) and basic computer functions including file management
• Familiarity with common electronic medical record applications such as Cerner
• Basic understanding of project management methodologies and key terms
• Demonstrates effective written and verbal communication, interpersonal skills

• Must have excellent time management skills and be highly organized and self-motivated
• The ability to follow-through in a timely fashion on tasks is essential
• Ability to travel to clinics throughout the South Bay area and work on site at least one day a week
• Must possess initiative; tact; poise; neat personal appearance; physical condition

commensurate with the requirements of the position

• A valid driver’s license and insurance/liability policy in the employee’s name is mandatory in applicable cities/states when a motor vehicle is necessary for the position.

Management will notify such employees when applicable

Knowledge, Skills, & Experience Preferred:

• Experience with ICD-10-CM coding
• Medical Billing / Claims Administration experience
• Exposure to the use of data analytics applications and reporting such as Tableau
• Experience with basic database administration (MS Access)