60 certified hcc coder jobs found

Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate will have at least five years of experience in coding and billing, with a strong knowledge of ICD-10-CM and CPT. Benefits include health insurance, paid time off, and tuition reimbursement. #J-18808-Ljbffr

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr

Albany Medical Center is seeking a Senior Professional Coder to act as service line coding team lead, applying advanced CPT/ICD-10 coding skills and coordinating with staff to ensure timely, accurate professional coding processes. The role involves auditing codes for compliance with CMS and payor guidelines, providing education to providers and staff, supporting HCC/risk adjustment coding, denials analysis, workflow testing, and liaison with external audits; remote work with onsite education as #J-18808-Ljbffr

Become a part of our caring community Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating...

Become a part of our caring community Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating...

Remote Risk Adjustment / Hcc Coder (Coder 1) The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk-adjustment programs across a variety of chart types. This role applies ICD-10-CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client-specific requirements to ensure high-quality coding outcomes. The Coder I utilizes established dispute-resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities. We are currently looking for multiple Remote Risk Adjustment / Hcc Coders (Coder 1) for full-time permanent positions. Responsibilities Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment program...

Reviewing the accuracy of HCC coded records, the full-time remote Certified HCC Coding Auditor will ensure compliance with Medicare and ICD-10-CM guidelines while supporting coders in identifying errors and maintaining high-quality standards. Key responsibilities Review and audit HCC coded records for accuracy in alignment with guidelines Provide feedback to coders to help them learn from errors and improve coding practices Maintain a quality score of 95% or higher and meet ongoing productivity requirements Required qualifications Certification through AAPC or AHIMA (CPC, CRC, CCS, or CCS-P) is mandatory At least 3 years of HCC coding experience and 2 years of auditing experience Global experience in HCC auditing is preferred Proficient in using EMRs, billing systems, and abstraction platforms Strong understanding of Risk Adjustment Data Abstraction Rules

Senior Professional Coder The Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring...

We appreciate that you are interested in pursuing your next career opportunity. As you complete the application below, here are a few tips you should consider: Visit Go/Develop forinformation on professional development, resume guidance, and interview best practices. Watch a quick video to discover how Humana’s Career Framework can help you identify meaningful growth opportunities. Visit Go/AskARecruiter for expert advice on your job search from our Talent Acquisition Team. Tailor your resume to highlight achievements and skills that align with the roleyou'reapplying for. Update your Workday profile to reflect your key accomplishments and experiences. Please read the job description carefully and ensure you meetallrequired qualifications. Consider having a conversation with your current leader about your career goals and interest in this opportunity. Their support can be valuable as you explore your next step. Job Profile Medical Coding Professional 2 Job Level...

HCC Medical Coder Location: Fully Remote Positions Available: Up to 200 Employment Type: Contract (2 months) Pay Rate: $27/hour Schedule: Full-time preferred Minimum 20 hours/week between 8:00 AM – 8:00 PM CST Must be available 8:00 AM – 5:00 PM CST for the first 2 weeks of training Training: 2 weeks, Monday–Friday Contract End Date: January 31, 2026 Equipment: Provided Paid Time Off: Not included; paid only for hours worked Job Summary We are seeking experienced HCC Medical Coders to join a large-scale remote project. In this role, you will review medical charts, assign accurate ICD-10 codes for risk adjustment, and ensure compliance with coding standards. Successful candidates will demonstrate strong attention to detail, coding accuracy, and productivity while working independently in a fast-paced environment. Key Responsibilities Assign accurate ICD-10 codes for physician and facility services in observation and inpatient settings Maintain knowledge of...

To support the Coding Audit and Compliance team, the fully remote Certified Coding Compliance Auditor will conduct documentation and coding reviews, provide education and training to internal and external stakeholders, and manage client projects while ensuring adherence to productivity and quality standards. Key responsibilities Conduct detailed analysis of medical records and assign diagnostic codes according to regulatory guidelines Develop audit reports and corrective action plans based on findings, ensuring timely delivery of client projects Provide education and training sessions to both internal teams and clients on coding, documentation, and compliance matters Required qualifications High School Diploma; Bachelor's degree preferred Minimum of 3 years of CPT and ICD-10 medical coding and auditing experience Certified Risk Coder (CRC) certification and/or significant HCC coding experience required AHIMA - Certified Coding Specialist-Physician (CCS-P) or AAPC - CPC...

To ensure the accuracy and compliance of diagnosis coding in risk adjustment programs, the contract-to-hire Certified Risk Coder Auditor will conduct medical record audits, validate diagnosis codes, and provide coding guidance while working remotely. Key Responsibilities Perform prospective and retrospective medical record reviews and audits Validate diagnosis code accuracy, completeness, specificity, and appropriateness based on provider documentation Identify coding and documentation deficiencies and provide written and verbal feedback Required Qualifications 7+ years of relevant professional experience 5+ years of HCC/Risk Adjustment coding experience utilizing inpatient and outpatient coding guidelines 5+ years of Risk Adjustment auditing experience CRC (Certified Risk Coder) certification in good standing Strong knowledge of Medicare, ACA Commercial, and Medicaid risk adjustment models

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more $18.00 hourly Full-time Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology pract... Show more $75,000.00 yearly Full-time MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented HCC Coding Specialist to join our growing team.This is an exciting opportunity to play a critical role in risk adjustment ac... Show more Remote Full-time Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity profess... Show more Remote Full-time Mercor is working with a leading AI research lab to improve the...

Location Miramar, Florida Summary Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding. Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding. Submits daily productivity report to HIM manager by defined deadline....

## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full timeposted on: Posted Todayjob requisition id: JR102682**As Mount Sinai grows, so does our legacy in high-quality health care.**Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.**Culture of Caring: The Sinai Way**Our hardworking,...

Minimum to Midpoint Pay Rate: $20.50 - $27.85/ hour This is a remote position. Incumbents, who reside in Florida only, may work remotely. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location. Summary Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary...

Full Time Job Summary The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits. Minimum Education High School Diploma or GED. Bachelor’s degree in Healthcare Administration or Business Administration, preferred. Licensure, Registration and/or Certification Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA). Work Experience Minimum 3 years of hospital or physician auditing experience with 1 year of hospital or physician coding experience. Hierarchical Condition...

Join to apply for the Senior Level Coder role at Saratoga Solutions . This range is provided by Saratoga Solutions. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $65,000.00/yr - $75,000.00/yr Saratoga Medical is currently hiring a full-time REMOTE Senior Medical Coder . The position includes a competitive rate, PTO, paid federal holidays, medical benefits, and flexible scheduling. Required Qualifications Minimum of five (5) years of experience in abstracting and ICD-9/ICD-10 coding of general acute hospital (inpatient and outpatient) and physician medical records, applying ICD-9/ICD-10 Coding Guidelines and Official Coding Clinics. Experience in abstracting ICD-9/ICD-10 (blended HCC model) coding is required. Extensive knowledge of anatomy and physiology, pathology, and medical terminology. Ability to communicate effectively with team members, clients, and customers. Ability to work independently with minimal...

This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $26.00/hr - $27.00/hr Direct message the job poster from Insight Global Professional Recruiter at Insight Global We are looking for a full-time REMOTE HCC/Risk Adjustment Medical Coder for a contract up to 12 months with possible extensions or conversions. Must hold an active CPC or CCS, as well as 3+ years of HCC/risk adjustment coding experience. ****The pay rate is $25-26.50 per hour depending on experience**** Job Summary: Insight Global is hiring HCC/Risk Adjustment Medical coders to support a backlog for inpatient and outpatient Medicare Advantage projects. Candidates must obtain an active Coding certification (CPC) through AAPC or AHIMA. The role primarily involves risk adjustment coding, focusing on HCC ICD-10 codes. Experience with problem list coding is a plus but not required. Responsibilities include...

About Sprinter Health At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can’t get to a doctor’s office. For many, the ER becomes their first touchpoint with the healthcare system—driving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we’ve supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. About the Role As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment....

Location 1240 39th Street,Brooklyn, NY, 11218,United States Base Pay $83,000.00 - $90,000.00 / Year Employee Type Full Time Required Degree 4 Year Degree We are seeking a detail-oriented and experienced Coder Auditor to join our dynamic team. The ideal candidate will be responsible for ensuring the accuracy and completeness of clinical data used to support risk adjustment coding for our Medicare plan. You will work closely with healthcare providers and clinical teams to identify and mitigate documentation gaps, ultimately supporting our mission to provide exceptional care to our members. Responsibilities Audit and QC the coding team’s output for accuracy and compliance with HCC/ICD-10-CM guidelines Speak directly with providers — writing and following up on provider queries for insufficient or ambiguous documentation Educate providers on documentation practices that support accurate risk adjustment coding Serve as the escalation point for complex charts and coding...

Certified Medical Coder – Family Medicine Staffingly, Inc. supports family practices, urgent care centers, and specialty clinics across the U.S. with a highly educated and certified remote healthcare workforce. With over 400 trained agents—most holding PharmDs, RNs, or MHAs—we specialize in revenue cycle management, including coding, prior authorization, intake coordination, and patient follow-up. Our coders don’t just process claims—they recover missed revenue, catch denials before they happen, and educate providers to prevent repeated documentation errors. We are HIPAA, SOC 2 Type II, and ISO 27001 certified. Position Summary We are hiring a Certified Medical Coder with hands-on Family Medicine experience and a proven track record of partnering with providers to increase revenue per visit, reduce denials, and enhance care quality reporting. This role goes beyond code entry—it requires someone who understands workflows, EHR behavior, documentation pitfalls, and can work closely...