Nov 03, 2026

Remote HCC & Medical Coding Specialist (Risk Adjustment)

Job Description

Highmark Inc. is seeking a remote HCC coding specialist to support risk adjustment initiatives for MA and ACA programs. You will translate physician documentation into ICD-10 codes and HCC categories, ensuring compliance with CMS guidelines and Highmark policies. In this role you will collaborate with physicians, Quality, Compliance, and leadership to improve documentation, accuracy, and audit readiness, while handling multiple coding projects across retro and prospective models.

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