Elevate your career as a Senior Risk Adjustment Coder and make a meaningful impact on Medicare Advantage programs! Join a dynamic team where your expertise in HCC coding, chart review, and provider collaboration directly influences revenue integrity and audit readiness. If you excel in compliance, audit validation, and clear communication, this opportunity is designed for you.
Competitive pay: $140,000–$170,000 annually Shift Days: Regular Business Hours Shift Time: Standard Business Hours Start Date: ASAP Department: Risk Adjustment Location: California (Bay Area preferred; remote work possible for qualified CA candidates) Duration: Full-time, permanent
Benefits:
- Competitive salary and benefits package
- Opportunity to impact revenue and compliance
- Collaborative, team-focused environment
- Work with leading health plans and systems
- Flexible work arrangements for California-based candidates
- Continuous professional development
Required Qualifications:
- CPC and CRC certifications (both required)
- 5+ years of hands-on HCC coding experience
- Direct Medicare Advantage (CMS) risk adjustment experience
- California-based candidates only
- Strong understanding of HCC capture, recapture, and suspecting
- Familiarity with MEAT criteria and RAF impact
- Proven experience in chart review, audit, and validation
- Ability to interact professionally with providers
- Knowledge of CMS guidelines and compliance
A Day in the Life:
- Review clinical charts to identify appropriate HCC codes
- Validate and recapture HCCs through audit and chart abstraction
- Collaborate with providers to clarify documentation gaps
- Ensure coding aligns with CMS and compliance standards
- Document findings and communicate with internal teams
- Support audit and validation processes to improve accuracy
Power Personnel is a trusted staffing partner dedicated to connecting healthcare organizations with top-tier talent. We value integrity, professionalism, and a commitment to excellence. Our focus is on fostering meaningful connections that drive success for both candidates and clients.
Referral Bonus: Refer a friend and get $250 bonus for every referral! To qualify, the referred person must work at least 20 shifts. Send referrals to: referrals@powerpersonnel.com.
- CPC and CRC certifications (both required)
- 5+ years of hands-on HCC coding experience
- Direct Medicare Advantage (CMS) risk adjustment experience
- California-based candidates only
- Strong understanding of HCC capture, recapture, and suspecting
- Familiarity with MEAT criteria and RAF impact
- Proven experience in chart review, audit, and validation
- Ability to interact professionally with providers
- Knowledge of CMS guidelines and compliance
- Competitive salary and benefits package
- Opportunity to impact revenue and compliance
- Collaborative, team-focused environment
- Work with leading health plans and systems
- Flexible work arrangements for California-based candidates
- Continuous professional development
Location
Newark, California, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$140,000 - $170,000
Remote work allowed
Yes
Posted
3 weeks ago