Remote Medicare HCC Coding Analyst

Alignment Health is focused on serving seniors and individuals with chronic illness and frailty through improved health care delivery.

The Medicare HCC Coding Analyst will work with provider partners to monitor and implement HCC coding strategies, audit RAPS submissions for CMS accuracy, and support risk adjustment initiatives across the organization.

Key responsibilities include:

• Monitoring coding and abstracting quality through ongoing audits
• Developing and improving provider education tools to capture acute and chronic conditions accurately
• Tracking and reporting audit progress for coding vendors
• Supporting Data Validation and RADV coding audits
• Maintaining tracking tools for assigned provider groups
• Coordinating risk adjustment activities and ensuring timely completion of tasks
• Updating risk adjustment materials for coding, compliance, and guideline changes
• Assisting with training, scheduling, and education meetings
• Contributing to CMS Data Validation activities and record submission tracking