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HCC Coding Specialist Job in San Diego, California

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Job Title: HCC Coding Specialist

Employer:Foresee Medical, Inc.
Required Certifications:• 5 years experience in HCC Risk Adjustment and/or HEDIS/Stars. • CRC certification.
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location:12555 High Bluff Drive, Ste. 100 San Diego 92130, CA, US
Date Posted:7/6/2018

Position Summary

This experienced HCC Coding Specialist will join a team of clinicians and engineers to support the development of our population health / data analytics software platform. The HCC coding specialist will be responsible for assisting our product development team in designing our HCC software module.


Use your informatics knowledge and coding experience to help translate disease states into codified ontology data models. Combine your proficiency with the HCC coding system to help prototype our software such that we create actionable clinical decision support (CDS) events. These CDS events can be used by healthcare providers and their coding team to improve documentation, stratify risk and optimize HCC coding opportunities.


  • Bachelor’s degree (preferably in Healthcare or relevant field) or equivalent work experience.
  • 5 years experience in HCC Risk Adjustment and/or HEDIS/Stars.
  • CRC certification.
  • 4-6 years of clinic or hospital experience and/or managed care experience.
  • Knowledge of ICD10 and CPT code sets.
  • Advanced proficiency in MS Office Excel (Pivot tables, excel functions).
  • Experience using HCC coding software.
  • Certified Professional Coder / CPC-A.
  • 5 years of experience using an EMR for recording or auditing provider encounters.
  • Minimum of two years of coding performed at a health care facility.
  • Knowledge of RAPS / EDS submission and other related actions.
  • Managerial experience preferred.

This position is a on-site position in our San Diego office.


Please see the below link to apply on our website:


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