Value Based Coder II Job at American Nursing Care (Houston)

Value Based Coder II

American Nursing Care

Location:
United States , Houston

Category:
IT - Administration

Contract Type:
Not provided

Salary:

25.30 - 35.74 USD / Hour

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Job Description:

The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement.

Job Responsibility:

Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC
Validate the accuracy and completeness of HCC documentation and coding
Advanced Documentation Improvement & Education: Analyze clinical documentation across the network to identify patterns, trends, and opportunities for improvement related to HCC capture
Develop and deliver effective education materials and tools to help network providers improve clinical documentation and support Hierarchical Condition Category coding capture
Provide targeted provider 1:1 education on documentation best practices, HCC guidelines, and risk adjustment principles
Compliance & Regulatory Insight: Continuously monitor and interpret evolving HCC coding guidelines, CMS regulations, and compliance trends within the risk adjustment landscape, applying this knowledge to daily coding and education efforts
Champion a culture of compliance by advocating for best practices and providing robust provider support to ensure CommonSpirit adheres to all federal and coding guidelines pertaining to HCC and risk adjustment
Safeguard medical records and preserve the confidentiality of personal health information through adherence to all relevant policies
Process Improvement & Collaboration: Actively participate in network performance improvement initiatives, offering insights and solutions based on coding expertise
Collaborate with providers and office staff to address documentation deficiencies and coding gaps

Requirements:

Bachelor’s degree in healthcare or equivalent work experience and/or 5 years of related job or industry experience in lieu of degree
Certified Professional Coder (CPC) from AAPC, OR Certified Coding Specialist (CCS) from AHIMA, OR Certified Risk Adjustment Coder (CRC) from AAPC
2+ years of experience in outpatient coding
2+ years focused on risk adjustment and HCC principles
Advanced knowledge of CPT and ICD-10 coding, with significant expertise in HCC coding guidelines and risk adjustment models
Strong understanding of federal and state guidelines on all coding systems and sponsored programs
Proficiency in developing and delivering educational content
Effective interpersonal, communication, and presentation skills (both verbal and written)
Ability to manage multiple priorities and work independently
Computer literacy in medical information systems, records management software, and encoder software

What we offer:

medical
prescription drug
dental
vision plans
life insurance
paid time off
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings

Additional Information:

Job Posted:
February 19, 2026

Employment Type:

Fulltime

Work Type:

Remote work

American Nursing Care - All Job Offers

Job Link Share:

Value Based Coder II

American Nursing Care

Location:
United States , Houston

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 19, 2026

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