Lead HCC Coding & Risk Adjustment in AI Health Tech
obsidianMillbrae, CA
Lead HCC Coding & Risk Adjustment in AI Health Tech
obsidianMillbrae, CA
yesterday
Occupations
Health Information Technologists and Medical RegistrarsMedical and Health Services ManagersMedical Records SpecialistsIndustries
Direct Health and Medical Insurance CarriersAll Other Insurance Related ActivitiesHome Health Care ServicesAbout the role
Mercor is seeking an experienced Risk Adjustment and HCC Coding leader to guide operations across Medicare Advantage, Medicaid, and ACA programs. You will review AI-generated risk adjustments, ensure regulatory compliance, and oversee RADV audit prep.
A strong background in CMS-HCC/ACA methodologies, ICD-10-CM, and documentation insights is essential. You will collaborate with clinical, coding, and compliance teams to improve data capture, coding accuracy, and risk score integrity while guiding
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JOB OVERVIEW
Experience level
Manager
Location
Millbrae, CA
Occupation
Health Information Technologists and Medical Registrars
Industry
Direct Health and Medical Insurance Carriers
Posted
yesterday
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