Vista Community Clinic

HCC Risk Adjustment Coder

Req No.
2025-4796
Location
US-CA-Vista
Type
Regular Full-Time
Department
Billing
Schedule
Monday - Friday, 8:00am to 5:00pm

Overview

At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it’s about hope, community, and impact. For over 50 years, we’ve been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it’s needed most.

 

As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.

 

 Benefits include:
✅ Competitive compensation & benefits 
✅ Medical, dental, vision
✅ Company-paid life insurance 
✅ Flexible spending accounts 
✅ 403(b) retirement plan 

Why VCC?

• 🏅 Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S.

• Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT.

• A robust training & development culture to help you grow and advance your career.

• A workplace built on respect, collaboration and passion for care.

Responsibilities

  • Perform PACE coding and auditing, working with clinicians on documentation and work flows as needed
  • Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment
  • and HCC coding guidelines
  • Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines
  • Validate and ensure the completeness, accuracy and integrity of coded data
  • Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding
  • Stay up to date with the latest coding guidelines, rules and regulations related to Risk Adjustment and HCC coding
  • Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality
  • Collaborate with healthcare providers, physicians and other team members to clarify documentation and resolve coding
  • queries
  • Participate in coding education and training programs to enhance coding skills and knowledge
  • Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends
  • Assist in internal and external coding audits to ensure the quality and compliance of coding practices
  • Identify opportunities for process improvement and efficiency in the coding process
  • Offer suggestions to enhance coding documentation and accuracy
  • Review documentation of every Annual Health Assessment in the Medical Record and Medical Diagnosis Report (MDX)
  • to ensure accurate codes and documentation are applied to the encounter for billing
  • Utilize available encoder, software and other coding resources to determine the appropriate ICD-10-CM diagnosis codes
  • mapped to HCCs
  • All additional tasks assigned with respect to medical coding and assisting Revenue Cycle staff and Operations on coding
  • questions, issues and updates that may arise
  • Enhance professional growth and development through participation in educational programs, current literature review, in¬
  • service meetings and workshops
  • Support the vision, mission and goals, and demonstrate a commitment to the values, of the organization
  • Perform other duties as directed

Qualifications

  • High school graduate or equivalent
  • AAPC Coding certification
  • Minimum three years’ medical billing experience
  • Minimum two years’ medical coding experience

Preferred Qualifications

  • Two years’ experience in an FQHC environment
  • Experience with NextGen
  • Experience in coding compliance program implementation

 

Required Skills/Knowledge/Abilities

  • Knowledge of Medicare, Medi-Cal/Presumptive Eligibility, FPACT, Every Woman Counts, Tricare and Managed Care
  • Payors
  • Ability and willingness to be flexible with schedule and work hours
  • Knowledge of payer coding policies and guidelines for FQHC's
  • Familiar with medical terminology
  • Experience/familiarity with computers and proficient in Microsoft Office products, specifically Word and Excel
  • Familiarity with business e-mail, communication systems and internet search capabilities
  • Ability to operate a 10-key calculator quickly and accurately
  • Ability to perform a high volume of detailed work with speed and accuracy
  • Ability to communicate initiatives, results and analyses, to multiple levels of management
  • Excellent interpersonal skills with ability to create a comfortable, supportive learning environment
  • Excellent public speaking skills, with the ability to engage others in the review of educational materials
  • Ability and willingness to meet the organization’s attendance and dress code policies
  • Ability to handle confidential materials and information in a professional manner
  • Excellent customer service skills and commitment to providing the highest level of customer satisfaction
  • Excellent verbal and written skills necessary for communication with patients/clients, providers and other staff
  • Ability to interface with all levels of personnel in a professional manner, including people of all social, cultural and
  • ethnic backgrounds and within the constraints of government funded programs

Pay Rate:

$26.00 - $34.00 DOE

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed