HCC Auditor / Coder – Job Description
The HCC Auditor/Coder is responsible for improving the accuracy and quality of provider documentation and reporting of chronic health conditions. This role supports risk adjustment initiatives through medical record audits, coding review, provider education, and ongoing collaboration with internal teams and provider offices.
The HCC Auditor/Coder reviews medical records and super bills to ensure appropriate assignment of diagnosis and procedure codes in accordance with HCC, ICD‑10, CPT, and HCPCS guidelines. This position works as an integral member of the Finance Department and consistently meets established productivity and quality standards.
Key Responsibilities
Audit provider medical records and super bills for accurate and compliant diagnosis and procedure coding
Review a wide variety of document types, including primary and specialty care, inpatient, outpatient, mental health, substance abuse, ancillary, laboratory, and pharmaceutical services for HCC values
Conduct both on‑site provider office audits and remote/online audits through medical record review
Interface professionally with physicians and office staff to address coding questions and discrepancies
Research and resolve coding issues using internal and external error reports
Provide education and feedback to providers and office staff on audit findings and best coding practices
Present educational materials to providers as needed
Upload and manage medical records within internal systems (iCode)
Generate Microsoft Excel spreadsheets to track audit activities and support department projects
Communicate with internal departments and provider offices via phone and email as needed
Learn and utilize department software and tools, including iCode, EZCap, Access Express, and the HCC model
Perform additional administrative support tasks as required, including scanning, faxing, photocopying, and document management
Required Skills
Medical record auditing
EMR/EHR review
Data extraction and analysis
ICD‑10 coding
Claims adjudication
Managed care environment knowledge
Qualifications
High school diploma or equivalent required
Coding certification required
Working knowledge of CPT, ICD, HCPCS, and HCC coding methodologies
Knowledge of medical terminology and anatomy
Preferred: 1 year of experience in coding, billing, auditing, and/or claims processing
Basic to intermediate proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook)
Job Type & Location
Contract position based out of Los Angeles, CA 91325.
Pay and Benefits
Pay range: $ – $
Benefits (subject to eligibility and plan terms):
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre‑tax and Roth post‑tax contributions available
Life Insurance (Voluntary Life & AD&D for employee and dependents)
Short and long‑term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
Fully onsite position in Los Angeles, CA 91325.
Application Deadline
This position is anticipated to close on May 22, 2026.
Equal Employment Opportunity
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Legal Statements
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
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