HCC Coder I

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 13 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost.

The HCC Coder I is a highly organized, team-oriented individual who possesses the ability to quickly understand and carry out verbal and written directions. The Coder I will be responsible for identifying and reporting all HCC diagnoses from outpatient and inpatient charts.

Responsibilities include reviewing and analyzing provider documentation to ensure presence of all required components of the legal medical record, performing comprehensive review of outpatient and inpatient charts for documentation consistency and adequacy to identify all appropriate coding based on CMS HCC categories, and accurately following ICD-10-CM coding and reporting guidelines according to AZPC policy. The role requires analytical and problem-solving skills to validate accurate HCC information, accurate documentation/data entry of ICD-10 codes, participation in quality improvement initiatives, and continual learning on coding and compliance issues.

This role requires full-time in-office presence for the first 60 days followed by availability for a hybrid schedule.