Medicare HCC Analyst
Brand New Day, HMO - Signal Hill, CA

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The Medicare HCC Analyst will work with plan coders, Utilization Management, Claims and IT departments, Providers, and Program Directors in order to develop a collaborative, productive relationships and improve plan HCC . Implementing coding initiatives, the Medicare HCC Analyst will utilize advanced knowledge of professional coding to review and recommend changes to systems and policies/procedures in order to ensure current and appropriate coding guidelines are maintained. This position will involve up to 25-35% travel - coder will be in the field at physician offices.

Minimum Position Qualifications:

  • Education:

Bachlor's degree or equivalent

  • Experience:

3 years healthcare experience/medical terminology and coding (CPT/ICD9), medical record review experience, ICD-9, CPT and HCPCS coding experience/proficiency

  • License/Certification:

Coding Certification (CCS-P or CPC through AHIMA/AAPC)

Preferred Position Qualifications: HCC/Risk adjustment knowledge