What are the responsibilities and job description for the HCC Coding Specialist position at MedPOINT Management?
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.
Flexible work from home options available.
Salary : $75,000 - $95,000