HCC Coding Leader for AI Risk Adjustment
mercorMillbrae, CA
HCC Coding Leader for AI Risk Adjustment
mercorMillbrae, 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 drive operations across Medicare Advantage, Medicaid, and ACA programs. You will evaluate AI-generated coding for accuracy and regulatory compliance, review records for complete HCC capture, and oversee RADV audit preparation.
You will collaborate with clinical, coding, and compliance teams to improve documentation quality and ensure CMS guideline adherence, while monitoring KPIs such as capture rates and chart retrieval.
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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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