Senior Coding Analyst, Risk Adjustment

Job not on LinkedIn

🔥 3 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $24 - $29 / hour

⏰ Full Time

🟠 Senior

🎲 Risk

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Altais

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2019

🏥 Healthcare

👥 B2C

🧘 Wellness

Healthcare • B2C • Wellness

Altais is a California-based healthcare provider network that unifies multiple medical brands to offer coordinated primary care, urgent care, specialty services, hospitals and labs, and mental and senior health across Northern and Southern California. The organization supports physicians and care teams with technology-enabled patient portals and value-based care partnerships, serving patients directly while also working with providers and partners to improve access, affordability, and care coordination.

📋 Description

• Review, audit, and code medical records for HCC reimbursement, training, education, and compliance • Meet daily productivity targets around HCC coding with 95% accuracy • Conduct office outreach and education • Audit and review medical documentation for appropriate ICD-10 and HCC coding and documentation • Query physicians when code assignments are unclear or not straightforward • Review HCC and ICD-10 codes annually for accuracy and implement changes • Assist physicians and providers with HCC coding and documentation questions and problems • Support HCC coding audits, including IDV, RADV, OIG, and DMHC audits • Provide analytics, education, and training to provider offices • Serve as the subject matter expert for HCC coding initiatives, policies, procedures, guidelines, and compliance standards • Serve as a resource to team members and physician offices • Interact with physicians, the provider network, and internal stakeholders • Work on ad hoc and long-term projects assigned by Clinical Performance leadership • Support Medicare Advantage risk adjustment and data validation programs, with potential expansion into Commercial, Medicaid, Quality, and SDoH capture • Spend 50% or more of the time meeting production standards

🎯 Requirements

• High school diploma or GED and equivalent of 2 years of relevant HCC coding experience • 3–5 years’ experience with professional medical coding credentials (CPC, CRC and/or similar) • 3–5 years’ experience in HCC coding and auditing (chart review) • 1 or more years’ experience in EPIC EMR software • 3–5 years’ experience in Medicare Risk Adjustment • 1 or more years’ project management and/or coordinating detailed projects or activities • Preferred: Bachelor’s degree from an accredited school • Preferred: 6 or more years’ experience in a clinic setting, working directly with physicians and staff • Preferred: 6 or more years’ experience and knowledge of Commercial and Medicaid coding, SDOH • External hires must pass a background check/drug screen • Must meet 95% HCC coding accuracy and daily productivity targets

🏖️ Benefits

• Excellent medical, vision, and dental coverage • 401k savings plan with a company match • Flexible time off • 9 Paid Holidays • Competitive compensation package • Background check/drug screen for external hires