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.

Job Summary

Accurately review, interpret, audit, code and analyze medical records for diagnosis accuracy, clear documentation, and Hierarchical Coding Condition (HCC) abstraction according to ICD-10 CM coding guidelines and risk adjustment model regulations. Coordinate and collaborate with operational and clinical leadership to assist in identification of clinical best practices. Implement process improvements related to coding to appropriately document and capture risk burden of patients. Responsible for daily coding and auditing and providing guidance for other staff in the coding process

• 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

Minimum 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