HCC Risk Adjustment Coder Auditor

Medica's Hierarchical Condition Category (HCC) Risk Adjustment Coder Auditor is responsible for identifying, collecting, assessing, monitoring and documenting coding information for diagnosis codes. You will ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered and review medical record information to identify all relevant coding. This is a senior level professional position that is accountable for more complex responsibilities with minimal supervision and may serves as a resource to others.

Key Responsibilities:

• Review medical charts to ensure accurate diagnosis coding and documentation
• Research and resolve assigned coding projects
• Conduct ongoing analysis of medical record charts to ensure coding compliance
• Participate in team meetings as needed to provide information and updates

Qualifications:

• Bachelor's degree or equivalent experience in a related field
• 5+ years of relevant experience beyond the degree
• Coding Certification required - AAPC/AHIMA (CRC, CPC, CPC-A, RHIA, RHIT, CCS, CCS-P, CCA)
• Strong knowledge of coding practices, HCC risk adjustment, and medical record analysis

Preferred Skills:

• Ability to work independently with minimal supervision and serve as a resource to others
• Excellent analytical and problem-solving skills
• Strong attention to detail and accuracy

This position is a Hub role, which requires an employee to occasionally come onsite to the Minnetonka or Madison office for applicable heads-up work. Frequency is determined by business need as decided by leadership.

The full salary range for this position is $54,100 - $92,800. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.