POWER PERSONNEL Senior Risk Adjustment Coder (HCC / Medicare Advantage) in Newark, CA

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Drive Accuracy. Influence Outcomes. Protect Revenue.

We are seeking a Senior Risk Adjustment Coder to play a critical role in risk adjustment accuracy, audit readiness, and clinical documentation excellence.

Job Title: Senior Risk Adjustment Coder
Location: Open to candidates based in California (preference for Newark, CA area)
Employment Type: Full-Time


About the Role:

We are seeking an experienced Senior Risk Adjustment Coder to support a leading healthcare organization focused on accurate risk adjustment, compliance, and documentation excellence.
This role is critical in ensuring accurate HCC capture, audit readiness, and high-quality clinical documentation, directly impacting reimbursement accuracy and regulatory compliance.

Key Responsibilities:
  • Perform risk adjustment coding and chart abstraction in alignment with CMS guidelines
  • Conduct coding audits and validation reviews to ensure accuracy and compliance
  • Identify opportunities for HCC capture, recapture, and suspecting
  • Ensure documentation meets M.E.A.T. criteria (Monitor, Evaluate, Assess, Treat)
  • Partner with providers on clinical documentation improvement (CDI) initiatives
  • Support retrospective, concurrent, and prospective reviews
  • Collaborate with clinical, compliance, and finance teams to improve coding accuracy
  • Stay current with CMS regulations, ICD-10 guidelines, and risk adjustment best practices

Required Qualifications:
  • Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) required
  • 5 years of experience in Risk Adjustment / HCC coding
  • Strong knowledge of Medicare Advantage and CMS risk adjustment models
  • Experience with coding audits and documentation review
  • Familiarity with EHR systems (e.g., Epic) and coding tools
  • Strong analytical, communication, and collaboration skills

Preferred Qualifications:
  • Certified Clinical Documentation Specialist (CCDS) preferred
  • Experience in CDI and provider-facing roles
  • Background in audit-heavy environments
  • Experience working within health systems, health plans, or risk adjustment vendors

What We’re Looking For:
  • Detail-oriented professional with a strong compliance and accuracy mindset
  • Ability to work independently while collaborating across cross-functional teams
  • Comfortable engaging with providers and clinical stakeholders
  • Passion for improving documentation quality and patient risk capture

Additional Information:
  • Open to candidates based in California, with preference for those located near Newark, CA
  • Work model (remote, hybrid, or onsite) will be discussed during the interview process
If you’re a seasoned Risk Adjustment professional looking to make a meaningful impact in a high-visibility role, we’d love to connect.

About Power Personnel:
Power Personnel is a trusted healthcare staffing and workforce solutions partner with a strong track record supporting leading health systems and organizations across California and nationwide.
With deep expertise across clinical, administrative, and revenue cycle functions, we connect top talent with high-impact opportunities that drive quality care and operational excellence.
Our team is committed to a consultative, candidate-first approach—ensuring alignment not only with role requirements, but also long-term career goals.

Referral Bonus
Refer a friend at referrals@powerpersonnel.com and earn a $500 bonus!
(Referral must complete 20 shifts to qualify)
Drive Accuracy. Influence Outcomes. Protect Revenue. We are seeking a Senior Risk Adjustment Coder to play a critical role in risk adjustment accuracy, audit readiness, and clinical documentation excellence. Job Title: Senior Risk Adjustment Coder Location: Open to candidates based in California (preference for Newark, CA area) Employment Type: Full-Time About the Role: We are seeking an experienced Senior Risk Adjustment Coder to support a leading healthcare organization focused on accurate risk adjustment, compliance, and documentation excellence. This role is critical in ensuring accurate HCC capture, audit readiness, and high-quality clinical documentation, directly impacting reimbursement accuracy and regulatory compliance. Key Responsibilities: Perform risk adjustment coding and chart abstraction in alignment with CMS guidelines Conduct coding audits and validation reviews to ensure accuracy and compliance Identify opportunities for HCC capture, recapture, and suspecting Ensure documentation meets M. E. A. T. criteria (Monitor, Evaluate, Assess, Treat) Partner with providers on clinical documentation improvement (CDI) initiatives Support retrospective, concurrent, and prospective reviews Collaborate with clinical, compliance, and finance teams to improve coding accuracy Stay current with CMS regulations, ICD-10 guidelines, and risk adjustment best practices Required Qualifications: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) required 5 years of experience in Risk Adjustment / HCC coding Strong knowledge of Medicare Advantage and CMS risk adjustment models Experience with coding audits and documentation review Familiarity with EHR systems (e.g., Epic) and coding tools Strong analytical, communication, and collaboration skills Preferred Qualifications: Certified Clinical Documentation Specialist (CCDS) preferred Experience in CDI and provider-facing roles Background in audit-heavy environments Experience working within health systems, health plans, or risk adjustment vendors What We’re Looking For: Detail-oriented professional with a strong compliance and accuracy mindset Ability to work independently while collaborating across cross-functional teams Comfortable engaging with providers and clinical stakeholders Passion for improving documentation quality and patient risk capture Additional Information: Open to candidates based in California, with preference for those located near Newark, CA Work model (remote, hybrid, or onsite) will be discussed during the interview process If you’re a seasoned Risk Adjustment professional looking to make a meaningful impact in a high-visibility role, we’d love to connect. About Power Personnel: Power Personnel is a trusted healthcare staffing and workforce solutions partner with a strong track record supporting leading health systems and organizations across California and nationwide. With deep expertise across clinical, administrative, and revenue cycle functions, we connect top talent with high-impact opportunities that drive quality care and operational excellence. Our team is committed to a consultative, candidate-first approach—ensuring alignment not only with role requirements, but also long-term career goals. Referral Bonus Refer a friend at referrals@powerpersonnel.com and earn a $500 bonus! (Referral must complete 20 shifts to qualify)
search terms: Risk+Coder
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