HCC Coding Specialist
at Medix

Date Posted: 6/25/2019

Job Description

We currently have a great opportunity for an HCC Coding Specialist to review scanned medical records for documentation related to disease or symptoms and diagnostic descriptions for chronic conditions.

This position is full time, Monday through Friday.

Essential Functions

  • Audits and corrects fee tickets/chart notes and external documentation based on industry standard coding guidelines.
  • Educates physicians with coding regulations and guidelines.
  • Review charts, code chronic disease that meets HCC and Risk Adjustment criteria.
  • Utilizes technical coding principals and APC reimbursement expertise to assign appropriate diagnoses and/or procedures.
  • Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and Official Coding Guidelines
  • Keeps abreast of coding guidelines and reimbursement reporting requirements.
  • Ensures production and quality expectations are met
  • Communicates professionally and effectively with physicians and staff
  • Performs accurate chart reviews and assigns appropriate ICD-10 CM codes based on documentation in chart.
  • Identifies and reports issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to approved coding guidelines.
  • Maintains consist daily production of greater than 30-50 reviews per day.
  • Maintains 95% accuracy rate.
  • Demonstrates the ability to appropriately use coding principles to code to the highest specificity and complies with CMS regulations and company goals and policies.
  • Reports operational concerns to manager for Quality Improvement of daily processes.
  • Demonstrates knowledge of various document types - e.g. paper records and electronic records.
  • Performs other duties and responsibilities as required.


  • High School diploma, GED or foreign equivalent. Preferred Associates or Bachelors
  • Minimum of 2 years HCC Coding Risk Adjustment experience preferred
  • Certification from AHIMA or AAPC: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CPC, COC, CRC
  • Good communication skills

Reference number: 84992

Job Snapshot

  • Employee Type: Full-Time
  • Location: Poway, CA
  • Job Type: Health Care
  • Experience: Not Specified
  • Date Posted: 6/25/2019

About Us

Medix provides workforce solutions to clients and creates opportunity for talent representing a variety of industries through our Healthcare, Scientific and Information Technology divisions. We have earned our reputation as an industry leader by providing unsurpassed customer service and top quality professionals to our clients.

At Medix we are extremely dedicated to our candidates, providing them with the best advice, support and direction during their job search. We work with all of our candidates personally to understand their skills and aspirations and best match them with opportunities that fit their goals. As we place contract, contract-to-hire and direct hire employment plans, we offer the flexibility to accommodate your schedule and needs.  We will also provide guidance and support during the interview process.  The benefits at Medix don’t stop there. After being employed for 30 days and averaging 30 hours per week for those 30 days, you become eligible for our benefit program.

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