Aug 19, 2026

REMOTE Risk Adjustment Coder

Job Description

Risk Adjustment Coding Specialist (Hcc)Insight Global is hiring experienced and CPC certified Risk Adjustment Coding Specialist (HCC) to support Medicare Advantage risk adjustment initiatives. This role will focus primarily on concurrent outpatient coding reviews with additional support for retrospective coding projects. The ideal candidate has strong HCC coding expertise, experience working in Epic, and a proven track record of maintaining high-quality coding standards (96%). Responsibilities include performing concurrent reviews of outpatient medical records to accurately capture HCCs and chronic conditions, supporting retrospective coding projects as needed, assigning ICD-10-CM diagnosis codes in accordance with CMS risk adjustment guidelines, reviewing provider documentation for coding accuracy, completeness, and compliance, utilizing Epic EMR to review encounters and clinical documentation, identifying documentation opportunities that support accurate risk adjustment capture, collaborating with coding, quality, CDI, and operational teams, meeting established productivity and quality expectations, and maintaining a minimum 96% coding accuracy rate.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.