HCC Coding & Care Gap Coordinator

About the Company

Our AI-first operating model has enabled us to develop proprietary technology that enhances clinical workflows, empowers providers, and improves patient outcomes. As we continue expanding across the United States, we are seeking motivated and detail-oriented professionals who are passionate about improving healthcare quality and operational excellence.

Position Overview:

The HCC Coding & Care Gap Coordinator plays a critical role in supporting Nao Medical's value-based care initiatives by helping ensure accurate risk adjustment coding, identification of care gaps, and completion of quality measures.

This position is responsible for reviewing patient charts, identifying Hierarchical Condition Category (HCC) opportunities, tracking preventive care and chronic disease management gaps, and supporting providers with documentation workflows. The coordinator will work closely with clinical and operational teams to improve coding accuracy, quality performance, and patient outcomes.

The ideal candidate is analytical, highly organized, detail-oriented, and comfortable working with electronic health records, clinical documentation, and population health programs.

Why Join Nao Medical

• Make an Impact - Help improve patient outcomes by ensuring patients receive appropriate preventive services, chronic disease management, and timely follow-up care.

• Growth Opportunity - Develop expertise in risk adjustment, population health, value-based care, quality programs, and healthcare analytics.

• Innovative Environment - Work within an AI-driven healthcare organization focused on operational excellence and continuous improvement.

• Remote Work Culture - Join a fully remote team that values accountability, collaboration, and professional development.

Primary Responsibilities

HCC Coding Support

• Review patient charts to identify potential HCC diagnoses and documentation opportunities.

• Validate supporting clinical documentation for chronic conditions and risk adjustment coding.
• Prepare provider coding review worklists and HCC opportunity reports.
• Track coding completion and follow-up activities.
• Collaborate with providers to ensure accurate and complete documentation.

• Escalate coding discrepancies or documentation concerns to designated clinical leadership.

Care Gap Management

• Review patient populations for open care gaps and quality measure opportunities.

• Monitor preventive screening, chronic disease management, and annual wellness visit compliance.
• Identify patients requiring outreach based on quality program requirements.
• Track completion of care gap activities and document outcomes.

• Maintain accurate care gap trackers and reporting dashboards.

Population Health Operations

• Generate and maintain patient worklists for quality improvement initiatives.

• Support chart preparation for annual wellness visits and chronic care follow-ups.
• Monitor quality performance metrics and assist with operational reporting.

• Coordinate with providers and operational teams to support value-based care objectives.

Provider Education & Documentation Support

• Conduct routine provider education sessions on HCC coding, risk adjustment principles, care gap closure requirements, and documentation best practices.

• Review coding trends and documentation opportunities and provide actionable feedback to providers and clinical staff.
• Assist providers in understanding documentation requirements necessary to support accurate risk adjustment coding and quality measure compliance.
• Develop educational materials, tip sheets, workflow guides, and training resources to support coding accuracy and care gap initiatives.
• Partner with clinical leadership to identify recurring documentation deficiencies and implement targeted coaching plans.
• Monitor provider performance related to HCC capture rates, care gap closure, and documentation quality, and provide ongoing support for improvement.
• Support onboarding and training of new providers regarding value-based care programs, quality measures, and documentation standards.

• Serve as a resource for provider questions related to coding, documentation, and population health initiatives.

Documentation & Compliance

• Maintain accurate records of coding reviews, care gap closures, and follow-up activities.

• Follow HIPAA regulations and internal confidentiality standards.
• Ensure adherence to established workflows, service-level agreements, and quality guidelines.

• Participate in process improvement initiatives to enhance operational efficiency.

Job Requirements

• Associate's or Bachelor's degree preferred.

• Degree in Health Sciences, Nursing, Public Health, Healthcare Administration, Medical Technology, or related field is a plus.

• Prior healthcare experience required.

• Experience with HCC coding, risk adjustment, population health, quality programs, or care gap management preferred.
• Familiarity with ICD-10 coding principles and clinical documentation standards.
• Experience using EHR systems.
• Understanding of value-based care models, Medicare Advantage, and quality measures is preferred.
• Strong analytical and problem-solving skills.
• Excellent organizational and time-management abilities.
• Strong attention to detail and documentation accuracy.
• Ability to work independently in a fast-paced remote environment.

• Excellent written and verbal communication skills.

• CPC, CRC, CCS, or similar coding certification preferred but not required.

• Experience with HEDIS, MIPS, Medicare Advantage, or risk adjustment programs is highly preferred.

• Experience working with population health platforms and reporting tools is a plus.

• Reliable wired internet connection (100 Mbps minimum).

• Computer/laptop with Intel Core i5 or Ryzen 5 processor, 8GB RAM minimum, and 128GB free storage.
• Dual-screen setup preferred for enhanced productivity.
• Operating system: Windows 10 or macOS (latest version).
• Clear webcam (1080p or higher resolution) and microphone for communication.

• Backup systems for electricity and internet outages.

• Competitive Compensation Package
• Performance-Based Incentives
• Paid Time Off (PTO)
• Fully Remote Work Environment
• Professional Development Opportunities
• Career Growth within a Rapidly Expanding Healthcare Organization

At Nao Medical, we're revolutionizing healthcare by blending cutting-edge technology with heartfelt, personalized care. Over the past 13 years, we've proudly served more than a million New Yorkers at our various locations.

Our mission is simple: provide accessible, quality care tailored to each patient's needs through our multi-specialty practice. We're breaking down barriers, championing health equity, and delivering value-based care to create healthier communities.

Experience the Nao Medical difference. Join us in transforming healthcare, Nao!