Home > Medical Coding Jobs > Texas > Onsite HCC Auditor/ Coder Job in San Antonio

Onsite HCC Auditor/ Coder Job in San Antonio, Texas

It is the responsibility of the job seeker to validate the information posted for each job. AAPC cannot validate or guarantee the accuracy of the information posted below.

Job Title: Onsite HCC Auditor/ Coder

Employer:HealthTexas Medical Group
Required Certifications:CCS-P,CPC:
Required Experience:3 to 4 years
Preferred Experience:3 to 4 years
Location:2961 Mossrock San Antonio 78230, TX, US
Date Posted:2/3/2020

The HCC Auditor/Coder will review medical records for accurate code selection, to include highest level of specificity, documentation validation, compliance with ICD-10 coding guidelines, and quality of care opportunities.

Role responsibilities:

  • Reviews outpatient medical records on both a retrospective and prospective basis to ensure documentation accurately reflects and supports code selection based on the ICD-10 coding guidelines, which are submitted to CMS for reimbursement based on the CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives.
  •  Performs physician queries as needed in order to validate ICD-10 diagnosis codes and follows established physician query policy and procedure. 
  • Ensures the diagnosis codes for each chronic or major medical condition have been captured and submitted within the permitted CMS timeframe.
  • Safeguards medical records and preserves the confidentiality of personal health information.
  • Keeps current on changes in coding and reimbursement requirements for government programs and other third party payers. 
  • Ensures compliance with all applicable Federal and State laws and regulations related to coding and documentation guidelines for Risk Adjustment. 

Knowledge, Skills & Abilities

·       Risk Adjustment methodology experience preferred

·       Proficient knowledge of CMS-HCC Model and guidelines

·       Ability to interpret, analyze and abstract data/documentation

·       Ability to identify HCC improvement opportunities and provide feedback to physicians on proper clinical documentation, compliance, and coding guidelines

·       Excellent organization and problem-solving skills required.

·       Strong oral and written communication skills required.

·       Strong time management skills required.

·       Ability to work in a continuously changing environment.

·       Must possess a high degree of accuracy, efficiency and dependability.

·       Ability to work effectively as a team member.

Experience & Education

  • Must have a minimum of 3 years coding experience with at least 1 year HCC Risk Adjustment experience and successful completion of a coding certificate program from one of the following is required:  Certified Professional Coder (CPC); or Certified Coding Specialist - Physician (CCS-P)
High School diploma or equivalent required. Bachelor’s degree in related field preferred; and/or relevant equivalent and relevant work experience 


Natasha M Medel

HR Associate Recruiter

Health Texas Medical Group

2961 Mossrock

San Antonio, TX 78230




Looking for Exhibiting Opportunities or Group Discounts?

Contact us at 877-524-5027.

Which certification is right for you?

Call 877-290-0440 or have a career counselor call you.

Which eNewsletters are right for you?

Call 844-334-2816 to speak with a specialist now.

Which books are right for you?

Call 877-524-5027 to speak to a representative.