• Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role.
United States Jobs Expertini

HCC Certified Coder Job Opening In Orange – Now Hiring Alignment Healthcare


Job description

Job Number6756Workplace Type:Hybrid RemoteRemote-US,California

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve.

Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees.

At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives.

After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth.

As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

Overview of the role:

To effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies.

Audit all RAPS submissions to ensure accuracy in the data provided to CMS.

Provide coding expertise as well as administrative oversight to ensure successful integration of AHC's HCC initiatives.

Responsibilities:

  • Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved.
  • Develop, implement, evaluate & improve IPA’s educational tools for their respective providers in order to accurately capture acute and chronic conditions.
  • Tracks & reports progress of the audits performed on the coding vendors in order to assure the coding accuracy and quality of the data submitted to CMS.
  • Work with Risk Adjustment Management on any Data Validation and /or RADV coding audit to ensure completeness and coding accuracy of all submissions to CMS.
  • Maintain a comprehensive tracking and management tool for assigned IPA’s within Alignments Healthcare provider network.
  • Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures.
  • Support the Risk Adjustment and STARs Management Team in scheduling/training activities.

    Maintain records of training.
  • Work with Risk Adjustment and STARs Management on the monitoring of HCC Corrective Action Plans as needed.
  • Suggest new Physician Group Risk Adjustment coding initiatives.

    Participate in SCITs/ Education meetings as needed
  • Coordinate Risk Adjustment audit activities as it relates to the assigned groups.

    Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment Healthcare Management
  • Regularly update all Risk Adjustment materials for clinical and official guideline changes.
  • Update all education materials based on CMS-HCC Model and ICD-10 annual changes
  • Suggest, update, and enhance clinical educational materials to assist in training physicians and clinical staff on Risk Adjustment Healthcare Programs including CMSHCC Models, Clinician Chart Reviews, and Encounter Documentation.
  • Suggest customizations of Risk Adjustment education and STARs education for various audiences; Support Staff, PCPs, Specialists, Employees vs.

    contracted and Central Departments
  • Stay current of industry coding, compliance and HCC issues.
  • Utilize, protect, and disclose Alignment Healthcare patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and participating in professional societies.
  • Contribute to team effort by accomplishing related results as needed.
  • Assists with the all HEDIS medical Record reviews for HEDIS Quality Data abstractions
  • Required skills and experience:

    Three-five years of coding in a medical group or health plan setting required; Professional Coding experience required.
    Previous use of Epic, Allscripts, EZCap, Athena 
    Proficient user in MS office suite, MS access a plus
    Certified Coder required, CCS, CCS-P, CPC, Certified Auditor a plus.
    Experience with HEDIS abstractions a plus

    Pay Range $54,199.00 - $81,100.00 annually

    Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

    Alignment Health is an Equal Opportunity/Affirmative Action Employer.

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

    *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information.

    Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company.

    If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at #/.

    If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@.

    Required Skill Profession

    Health Technologists And Technicians


    • Job Details

    Related Jobs

    Alignment Healthcare hiring HCC Certified Coder Job in Orange, California, United States
    Alignment Healthcare
    Orange, California, United States
    Reveleer hiring HCC Risk Adjustment Coder Job in remote, us, remote, us, United States
    Reveleer
    remote, us, remote, us, United States
    Confidential hiring Remote/Local HCC Coder Job in Richardson, Texas, United States
    Confidential
    Richardson, Texas, United States
    Cotiviti hiring Coder 1/HCC Risk Adjustment Job in United States
    Cotiviti
    United States
    Dean's Professional Services hiring Certified Coder Job in The Woodlands, Texas, United States
    Dean's Professional Services
    The Woodlands, Texas, United States
    Alameda Health System hiring Certified Coder Job in Oakland, CA, United States
    Alameda Health System
    Oakland, CA, United States
    Alameda Health System hiring Certified Coder Job in Oakland, CA, United States
    Alameda Health System
    Oakland, CA, United States
    Alameda Health System hiring Certified Coder Job in Oakland, CA, United States
    Alameda Health System
    Oakland, CA, United States
    Molina Healthcare hiring Certified Coder Job in , , United States
    Molina Healthcare
    , , United States
    Redeemer Health hiring Certified Oncology Coder Job in Meadowbrook, Pennsylvania, United States
    Redeemer Health
    Meadowbrook, Pennsylvania, United States
    Shore Medical Center hiring Coder, Certified Inpatient Job in Somers Point, New Jersey, United States
    Shore Medical Center
    Somers Point, New Jersey, United States
    Caris Life Sciences hiring Certified Coder I Job in Austin, TX, United States
    Caris Life Sciences
    Austin, TX, United States
    Caris Life Sciences hiring Certified Coder I Job in Phoenix, AZ, United States
    Caris Life Sciences
    Phoenix, AZ, United States
    Ozarks Medical Center hiring Coder -(Non-certified) Job in West Plains, MO, United States
    Ozarks Medical Center
    West Plains, MO, United States
    Lakeshore Bone & Joint Institute hiring Certified Medical Coder Job in , PORTAGE, United States
    Lakeshore Bone & Joint Institute
    , PORTAGE, United States
    The Staff Pad hiring Certified Medical Coder Job in Helena, MT, United States
    The Staff Pad
    Helena, MT, United States
    Deborah Heart and Lung Center hiring Credentialed Coder (Certified) Job in Browns Mills, NJ, Burlington County, NJ, United States
    Deborah Heart and Lung Center
    Browns Mills, NJ, Burlington County, NJ, United States
    Phoebe Putney Health System hiring Certified Coder PPG CBO Job in Albany, Georgia, United States
    Phoebe Putney Health System
    Albany, Georgia, United States
    Atrius Health hiring Certified Surgical Medical Coder Job in , NEWTON,MA, United States
    Atrius Health
    , NEWTON,MA, United States
    Beth Israel Lahey Health hiring Certified Outpatient Coder 3 Job in Charlestown, MA, United States
    Beth Israel Lahey Health
    Charlestown, MA, United States
    Dignity Health hiring Certified Medical Records Coder Job in Phoenix, AZ, United States
    Dignity Health
    Phoenix, AZ, United States
    Beth Israel Lahey Health hiring Certified Outpatient Coder 3 Job in Charlestown, MA, United States
    Beth Israel Lahey Health
    Charlestown, MA, United States
    PruittHealth hiring Housekeeper HCC Job in Elkin, North Carolina, United States
    PruittHealth
    Elkin, North Carolina, United States
    PruittHealth hiring Beautician HCC Job in Rome, Georgia, United States
    PruittHealth
    Rome, Georgia, United States
    PruittHealth hiring Housekeeper HCC Job in Albany, Georgia, United States
    PruittHealth
    Albany, Georgia, United States
    PruittHealth hiring Housekeeper HCC Job in Albany, Georgia, United States
    PruittHealth
    Albany, Georgia, United States
    PruittHealth hiring Receptionist HCC Job in Milton, Florida, United States
    PruittHealth
    Milton, Florida, United States
    PruittHealth hiring Receptionist HCC Job in Kernersville, North Carolina, United States
    PruittHealth
    Kernersville, North Carolina, United States
    PruittHealth hiring Housekeeper HCC Job in Decatur, Georgia, United States
    PruittHealth
    Decatur, Georgia, United States
    PruittHealth hiring Housekeeper HCC Job in Chester, South Carolina, United States
    PruittHealth
    Chester, South Carolina, United States
    PruittHealth hiring Housekeeper HCC Job in Albany, Georgia, United States
    PruittHealth
    Albany, Georgia, United States

    Unlock Your HCC Certified Potential: Insight & Career Growth Guide


    Real-time HCC Certified Jobs Trends (Graphical Representation)

    Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph here. Uncover the dynamic job market trends for HCC Certified in Orange, United States, highlighting market share and opportunities for professionals in HCC Certified roles.

    37486 Jobs in United States
    37486
    50 Jobs in Orange
    50
    Download Hcc Certified Jobs Trends in Orange and United States

    Are You Looking for HCC Certified Coder Job?

    Great news! is currently hiring and seeking a HCC Certified Coder to join their team. Feel free to download the job details.

    Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    The Work Culture

    An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Alignment Healthcare adheres to the cultural norms as outlined by Expertini.

    The fundamental ethical values are:

    1. Independence

    2. Loyalty

    3. Impartiapty

    4. Integrity

    5. Accountabipty

    6. Respect for human rights

    7. Obeying United States laws and regulations

    What Is the Average Salary Range for HCC Certified Coder Positions?

    The average salary range for a varies, but the pay scale is rated "Standard" in Orange. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    What Are the Key Qualifications for HCC Certified Coder?

    Key qualifications for HCC Certified Coder typically include Health Technologists And Technicians and a list of qualifications and expertise as mentioned in the job specification. The generic skills are mostly outlined by the . Be sure to check the specific job listing for detailed requirements and qualifications.

    How Can I Improve My Chances of Getting Hired for HCC Certified Coder?

    To improve your chances of getting hired for HCC Certified Coder, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    Interview Tips for HCC Certified Coder Job Success

    Alignment Healthcare interview tips for HCC Certified Coder

    Here are some tips to help you prepare for and ace your HCC Certified Coder job interview:

    Before the Interview:

    Research: Learn about the Alignment Healthcare's mission, values, products, and the specific job requirements and get further information about

    Other Openings

    Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.

    Dress Professionally: Choose attire appropriate for the company culture.

    Prepare Questions: Show your interest by having thoughtful questions for the interviewer.

    Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.

    During the Interview:

    Be Punctual: Arrive on time to demonstrate professionalism and respect.

    Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.

    Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.

    Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.

    Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.

    Follow Up: Send a thank-you email to the interviewer within 24 hours.

    Additional Tips:

    Be Yourself: Let your personality shine through while maintaining professionalism.

    Be Honest: Don't exaggerate your skills or experience.

    Be Positive: Focus on your strengths and accomplishments.

    Body Language: Maintain good posture, avoid fidgeting, and make eye contact.

    Turn Off Phone: Avoid distractions during the interview.

    Final Thought:

    To prepare for your HCC Certified Coder interview at Alignment Healthcare, research the company, understand the job requirements, and practice common interview questions.

    Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Alignment Healthcare's products or services and be prepared to discuss how you can contribute to their success.

    By following these tips, you can increase your chances of making a positive impression and landing the job!

    How to Set Up Job Alerts for HCC Certified Coder Positions

    Setting up job alerts for HCC Certified Coder is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!