Senior Coding Analyst, Risk Adjustment

Altais

. Review, audit, and code medical records for HCC reimbursement, training, education, and compliance .

Posted 10/26/2026full-timeRemote • California • United StatesSenior💰 $25 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in HCC coding and auditing, ensuring compliance with ICD-10 standards and achieving high accuracy in coding practices. Provides education and support to healthcare providers while managing projects related to Medicare Advantage risk adjustment and data validation.

Highest-signal resume keywords

HCC Coding ExperienceICD-10 Coding ProficiencyMedicare Risk Adjustment KnowledgeCPC/CRC CertificationEPIC EMR Software Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

HCC CodingICD-10 CodingMedical Record AuditingChart ReviewCoding ComplianceData ValidationRisk AdjustmentProject ManagementAnalyticsEducation and Training

Soft Skills

Interpersonal CommunicationTeam CollaborationProblem SolvingOutreach and Education

Tools & Technologies

EPIC EMR Software

Certifications & Qualifications

CPCCRC

Industry Keywords

Medicare AdvantageCommercial CodingMedicaid CodingSDoHCompliance StandardsHCC Initiatives

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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