Coding Analyst

Alignment Health

Coding Analyst responsible for executing HCC coding and conducting provider training at Alignment Health. Collaborating with clinical teams to improve documentation and risk capture in Medicare Advantage operations.

Posted 7/22/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $58,531 - $87,797 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in HCC Coding and ICD-10-CM guidelines, ensuring compliance with CMS Risk Adjustment requirements while delivering effective provider education and training. Maintains high productivity and quality standards in coding practices, contributing to accurate risk adjustment reporting and data integrity.

Highest-signal resume keywords

HCC CodingICD-10-CM CodingCMS Risk AdjustmentCPC CertificationEHR Systems

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Medical CodingChart Review CodingCoding AuditsDocumentation ImprovementCoding Standards Education

Soft Skills

Actionable Feedback DeliveryCommunication with ProvidersTailored Education Development

Tools & Technologies

Electronic Health Record (EHR) SystemsCoding Platforms

Certifications & Qualifications

CPC (Certified Professional Coder)CCS (Certified Coding Specialist)RHIT (Registered Health Information Technician)

Industry Keywords

Medicare AdvantageManaged CareHealth Plan EnvironmentCompliance with CMS Guidelines

About the role

Key responsibilities & impact

Execute Accurate HCC Coding from Member Medical Records.
Review prospective and retrospective member medical records and assign accurate, compliant HCC codes using ICD-10-CM coding guidelines to support CMS Risk Adjustment submissions.
Conduct Structured Provider Coding Audits.
Perform structured audits of provider documentation and coding practices for assigned physician groups and clinical staff — identifying patterns of under-documentation, missed conditions, and coding inaccuracies, and delivering specific, actionable feedback that drives measurable and sustained improvement.
Deliver Provider-Facing Education and Training.
Develop and deliver targeted education on coding standards, CMS Risk Adjustment requirements, and clinical documentation best practices — tailoring content to the needs of PCPs, specialists, and clinical support staff across assigned CDO provider groups.
Identify and Close Provider-Level Documentation Gaps.
Flag unsupported diagnoses, incomplete clinical documentation, and missing eligible conditions — communicating findings directly to providers and care teams to close risk capture gaps at the source and reinforce documentation standards.
Ensure Compliance with CMS Coding Guidelines.
Apply current CMS Risk Adjustment coding rules, Official Guidelines for Coding and Reporting, and organizational policies to all coding and provider education activities — minimizing audit risk and ensuring submission integrity.
Meet Productivity and Quality Standards.
Achieve daily coding productivity targets and maintain quality scores at or above established benchmarks, contributing directly to the CDO's RAF accuracy and performance goals.
Maintain Current Knowledge of Coding and Regulatory Updates.
Stay current on ICD-10-CM updates, CMS Risk Adjustment model changes, and HCC coding guidance — applying changes promptly to all coding work and updating provider education materials accordingly.
Support Data Integrity and Accurate Reporting.
Ensure all coded data is entered accurately into applicable systems to support downstream risk adjustment reporting, encounter data submissions, and performance analytics used by CDO leadership

Requirements

What you’ll need

Minimum 2 years of experience in medical coding, with direct experience in Risk Adjustment or HCC coding in a Medicare Advantage, managed care, or health plan environment
Demonstrated experience with prospective and/or retrospective chart review coding
Working knowledge of ICD-10-CM coding systems and CMS Risk Adjustment methodology
Experience using electronic health record (EHR) systems and coding platforms
Formal training in ICD-10-CM coding and CMS Risk Adjustment methodology, through an accredited coding program or demonstrated equivalent experience
CPC (Certified Professional Coder) — AAPC; OR CCS (Certified Coding Specialist) — AHIMA; OR RHIT (Registered Health Information Technician) — AHIMA

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development opportunities