HCC Medical Coder
Apply Job ID 32120 Date posted 09/08/2025Job Family:
General Coding
Travel Required:
Clearance Required:
What You Will Do:
The HCC Risk Adjustment Medical Coder Specialist ensures the data integrity of coded patient records by reviewing the submitted medical documentation and validating that it accurately supports the assigned codes while following the Official Guidelines for Coding and Reporting. This position will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate HCC related ICD-10 Diagnosis codes. The HCC Coder will have the ability to identify encounter level discrepancies and documentation improvement opportunities for provider education, as well as identifying and communicating trending issues. The HCC Coder will query providers regarding missing, unclear or conflicting documentation utilizing designated query process.
Perform Risk Adjustment Review and Coding
Perform Retrospective and Prospective Coding for Value Based Plans
Meet 95% Quality and Production standards
What You Will Need:
5+ years medical coding experience
High School Diploma or equivalent
AAPC Credentials; CRC, CPC
Minimum 3 years' experience in Risk Adjustment Coding
Maintains a working knowledge of ICD-10 and CPT coding principles
Good Oral and Written communication skills
Extensive knowledge of Value Based Payor Plans and various Risk Adjustment Models
What Would Be Nice To Have:
AAPC Credentials: CDEO and/or CPMA
Experience in physician education related to Risk Adjustment opportunities
Analytical skills and knowledge in use of excel
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
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