Lead HCC Coding & Risk Adjustment in AI Health Tech

Posted yesterday

obsidianMillbrae (CA)

Health Information Technologists and Medical Registrars Direct Health and Medical Insurance Carriers

SENIORITY

Manager

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About the role

Mercor is seeking an experienced Risk Adjustment and HCC Coding leader to guide operations across Medicare Advantage, Medicaid, and ACA programs. You will review AI-generated risk adjustments, ensure regulatory compliance, and oversee RADV audit prep. A strong background in CMS-HCC/ACA methodologies, ICD-10-CM, and documentation insights is essential. You will collaborate with clinical, coding, and compliance teams to improve data capture, coding accuracy, and risk score integrity while guiding

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