Medical Coding Specialist (HCC / Risk Adjustment) — Remote Pay Rate: $30.00/hour Schedule: Monday–Friday, 8:00 AM – 4:30 PM (CST) Location: Remote Position Summary We are seeking an experienced Medical Coding Specialist with HCC/Risk Adjustment experience to support outpatient provider documentation and accurate condition capture. This role is responsible for reviewing medical records, assigning appropriate ICD-10 and CPT codes, identifying eligible HCC conditions, and supporting accurate problem lists in the EHR. The ideal candidate is detail-oriented, productive, and comfortable working independently in a remote environment while collaborating closely with clinical teams. Key Responsibilities Review outpatient medical records and abstract relevant clinical and demographic data. Assign accurate ICD-10 and CPT codes in accordance with current coding guidelines. Identify and validate HCC conditions based on provider documentation and risk adjustment guidelines. Request clarification or additional documentation from providers when diagnoses are missing or unclear. Update problem lists and medical records in the EHR per established workflows. Maintain productivity and accuracy standards (minimum 50 charts/day with 90%+ accuracy). Communicate quality concerns or documentation issues to appropriate clinical staff. Follow all HIPAA and patient privacy regulations. Participate in virtual team meetings, training sessions, and ongoing education. Attend monthly onsite meetings or special training sessions as required. Required Qualifications High School Diploma or equivalent 3–5 years of outpatient medical coding experience Minimum 2 years of HCC / Risk Adjustment coding experience Strong knowledge of ICD-10 and CPT coding systems Active coding certification: CPC, CRC, COC, or CCA (AAPC or AHIMA) Experience handling protected health information (PHI) Ability to meet productivity and accuracy benchmarks Preferred Qualifications Oncology coding experience Experience working in provider-based outpatient settings Strong Excel skills Remote Work Requirements Dedicated home workspace suitable for confidential medical work Reliable high-speed internet Ability to be on camera during meetings and training Ability to attend required monthly onsite meetings in The Woodlands, TX (unless out of region) Skills and Competencies Excellent attention to detail and accuracy Strong communication and provider query skills Critical thinking and problem-solving ability Self-motivated and able to work independently Strong organization and time management skills Adaptable and comfortable with changing guidelines and workflows