Coding • west covina ca
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more
Code Kaboom Robotics Academy is seeking an energetic, engaging, and experienced Coding & Robotics Teacher to inspire students through hands-on STEM learning.The ideal candidate will have experi... Show more
ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES.Assist and develop tracking mechanisms to demonstrate program impact.Assist in the development plans for both formal and informal education for phy... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Analytics and Decision-Support leaders — includin... Show more
The OpportunityAre you a seasoned property management professional with a track record of driving operational excellence and financial success? Positive Investments, Inc.Property Manager-IV to take... Show more
Primary Skills: Java, Springboot,Jenkins, Cloud,.Location: San Diego, CA (Hybrid).Apply Domain Driven Design principles to architect and align backend services with the Intuit ecosystem.Develop and... Show more
Our client is a well-established food and consumer packaged goods manufacturing and distribution company with approximately $200M in annual revenue.The company manufactures and distributes a broad ... Show more
Ortho Billing Manager Opportunity.Children's Dental FunZone is a growing pediatric dental group with locations across Southern California, dedicated to providing a fun, welcoming, and clinically ex... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity profess... Show more
This is Elizabeth with ObjectWin.We have an immediate need for the following requirement.Kindly go through the following job details and If you are interested revert me back with your updated resum... Show more
Are you a budding educator looking for opportunities to teach kids and earn extra income?.Do you live, work, or go to school in Rosemead or surrounding areas?.Are you interested in learning to teac... Show more
We are seeking a highly motivated and detail-oriented Staff Accountant to join our growing Finance team.This role offers broad exposure across accounting operations, including Accounts Payable, Acc... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more
EAP) Employee Assistance Program.Ancillary Benefits like Critical Illness.The Accounts Payable Specialist is responsible for managing the full-cycle accounts payable process, ensuring vendor invoic... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Clinical Documentation Integrity (CDI) managers and leaders to ... Show more
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity profess... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Revenue Cycle Analytics and Decision-Support leaders — includin... Show more
The average salary range is between $ 39,291 and $ 86,205 year , with the average salary hovering around $ 59,280 year .
The average salary range is between $ 40,950 and $ 90,663 year , with the average salary hovering around $ 55,745 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
