HCC Coding Specialist

Benefits:

• 401(k)
• 401(k) matching
• Bonus based on performance
• Company parties
• Dental insurance
• Employee discounts
• Free food & snacks
• Health insurance
• Opportunity for advancement
• Paid time off
• Parental leave
• Savings bank
• Training & development
• Vision insurance
• Wellness resources

About the Role:
MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented HCC Coding Specialist to join our growing team. This is an exciting opportunity to play a critical role in risk adjustment accuracy and quality healthcare documentation. If you're passionate about medical coding and making a meaningful impact in managed care, we want to hear from you!

Responsibilities:

• Review and analyze medical records to assign accurate HCC (Hierarchical Condition Category) codes
• Ensure proper documentation of chronic conditions and risk adjustment diagnoses in compliance with CMS guidelines
• Conduct retrospective and prospective chart reviews to identify coding gaps and opportunities
• Collaborate with physicians and clinical staff to clarify documentation and support coding accuracy
• Prepare and submit coding findings and reports to support risk adjustment programs
• Stay current with ICD-10-CM coding updates, CMS risk adjustment models, and payer-specific requirements
• Support audit processes and respond to coding queries in a timely manner

Requirements:

• Certified Professional Coder (CPC), CRC, or equivalent coding certification required
• Minimum 2+ years of experience in HCC coding and/or risk adjustment
• Strong working knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment models
• Experience with medical record review in a managed care or health plan environment preferred
• Proficiency with electronic health records (EHR) and coding software
• Exceptional attention to detail and commitment to coding accuracy and compliance
• Strong communication skills with the ability to work collaboratively across clinical and administrative teams

About Us:
MedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to supporting high-quality, coordinated patient care across Southern California. Our provider partners and health plan clients trust us for our expertise, integrity, and commitment to operational excellence. We foster a collaborative and supportive work environment where talented professionals can thrive and grow their careers in healthcare management.

Flexible work from home options available.