619 hcc coder jobs found

Alignment Healthcare LLC is looking for a CMS HCC Coder for a hybrid remote position based in Orange, CA. The role requires monitoring and implementing HCC coding strategies and conducting audits to ensure data accuracy for CMS. The ideal candidate will have 3+ years of coding experience and a High School Diploma or GED. This position offers a competitive salary range of $58,531.00 - $87,797.00 and numerous opportunities for professional growth while working alongside a dedicated team focused on transforming the lives of seniors. #J-18808-Ljbffr

Hcc Coder Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. Travel to provider office location/offices for HCC education as determined by manager Mandatory on-site team meetings in Midland 1 x per month To be part of our organization, every employee should understand and share in the MyMichigan Health Vision, support our Mission, and live our Values. These values include excellence, integrity, teamwork, and accountability must guide what we do, as individuals and professionals. The HCC Coder, working under the direction of the Clinical Documentation Integrity Manager, utilizes coding expertise to identify areas of opportunity that impacts the quality and the completeness of the medical record documentation. Through prospective, concurrent, and retrospective evaluation of the medical record documentation, the HCC Coder will be responsible for working collaboratively with the clinical team members to...

Description: Join the Team at PedIM Healthcare! Delivering exceptional care, together. Who We Are PedIM Healthcare is the first private medical office of its kind in Citrus County offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, womens care, medical weight-loss, sleep-medicine services and more. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties. A values-driven environment: we listen, we help, we understandand we care. Community-oriented and recognized: voted best of the best in the region. Opportunity to make a meaningful impact by supporting patients over their full life spanfrom...

To support a growing healthcare practice, the full-time Certified HCC Coder will review medical records for accurate diagnosis code abstraction, ensuring compliance with coding guidelines while working remotely. Key Responsibilities Review diverse medical record types for accurate and compliant diagnosis code abstraction for HCC risk adjustment Adhere to ICD-10-CM Official Guidelines and meet production and quality standards Communicate proactively with management regarding workload and participate in specialized coding projects Required Qualifications Active national coding certification in good standing through AAPC or AHIMA (e.g., CRC, CPC, CCS) Minimum of a High School Diploma or GED 1-2 years of direct experience in medical risk adjustment/HCC coding Strong knowledge of medical terminology, anatomy, and physiology Intermediate computer literacy with experience in electronic coding platforms

Hcc Coder PedIM Healthcare is seeking an experienced HCC Coder to join our growing value-based care team. This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance with CMS guidelines while supporting high-quality patient outcomes. The HCC Coder will be responsible for reviewing medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. What We Offer Competitive compensation based on experience discussed during interview In-house or remote flexibility Team-oriented, value-driven environment Opportunity to directly impact patient outcomes and organizational performance Long-term growth within a value-based care organization Key Responsibilities Conduct pre-visit and chart reviews to identify known and suspected RAF/HCC conditions prior to patient appointments Conduct post-visit...

A company is looking for a Remote PRN HCC Coder with CRC. Key Responsibilities Codes inpatient and outpatient medical records using ICD-9/10 CM and CPT-4 classification systems Abstracts data for quality improvement and compliance with regulations Resolves pre-bill edits and maintains up-to-date knowledge of coding regulations Required Qualifications High school diploma or GED required Certification in coding (HCS-D, CCS, CCS-P, CPC-H, CPC, or RHIT/RHIA) required at hire One to three years of coding experience required Computer skills in Word, Excel, and PowerPoint required Experience with an encoder and Electronic Medical Records preferred

MyMichigan Health is seeking an HCC Coder in Midland, Michigan. This role requires certifications such as CPC or CCS, and involves collaboration with clinical teams to support the accurate capture of hierarchal condition categories through medical record documentation. Candidates should have a high school diploma, strong communication skills, and experience in the medical field. This position emphasizes quality standards and continuous education within the team dynamics. #J-18808-Ljbffr

Presbyterian Healthcare Services in Santa Fe is looking for a skilled Remote PRN HCC Coder with CRC to join their team. This position involves coding inpatient and outpatient records, ensuring compliance with regulations, and maintaining high accuracy and productivity standards. Candidates must have a high school diploma, relevant coding certifications, and 1-3 years of coding experience. A comprehensive benefits package is offered, including medical, dental, and vision coverage, as well as disability insurance. #J-18808-Ljbffr

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70, Maximum Offer $33.14 Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote PRN HCC Coder with CRC to join our team. Type of Opportunity: PRN. Job Exempt: No. Job is based: Remote Workers. New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS...

A leading healthcare provider organization in Chandler, Arizona is looking for a highly organized HCC Coder I. This role involves reviewing and analyzing provider documentation to ensure accurate coding of HCC diagnoses. Candidates must hold a high school diploma and a coding certification, with one year of ICD-9/ICD-10 & CPT experience preferred. The position requires full-time in-office attendance for the first 60 days, transitioning to a hybrid model thereafter. Compensation ranges from $23 to $26 per hour. #J-18808-Ljbffr

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 13 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost. The HCC Coder I is a highly organized, team-oriented individual who possesses the ability to quickly understand and carry out verbal and written directions. The Coder I will be responsible for identifying and reporting all HCC diagnoses from outpatient and inpatient charts. Position Duties & Responsibilities Review and analyze...

Hcc Coding Analyst Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid-remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid...

Medical Risk Adjustment Coder (Remote) Location: Remote (Must reside within the Continental United States) Position Type: Full-Time, 40 hours per week Schedule: Monday – Friday, 8-hour daytime schedule tailored to your local time zone Training Hours: Monday – Friday, 8:00 AM – 5:00 PM ET (Attendance is mandatory) Position Overview This home-based position is designed for a detail-oriented, certified medical coder responsible for reviewing medical records to ensure accurate, compliant, and complete diagnosis code abstraction. Aligned with strict productivity and quality requirements, this role focuses on Medicare, Commercial, and Medicaid risk adjustment across various chart types (physician, facility, and non-facility). The successful candidate will thrive in a fast-paced environment, maintaining high quality while executing general coding workflows and specialized review projects. Key Responsibilities Code Abstraction & Quality Assurance Diagnosis Code Abstraction: Review...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid- remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS). Provide...

Job DescriptionJob DescriptionAbout Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.Optima is currently seeking a HCC Risk Coder Specialist to join our team.As the Risk Adjustment Coder you will perform medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM official...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position is hybrid- remote in Orange, CA. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS)....

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 validating...

UMass Memorial Health in Worcester, MA, is seeking a skilled coder to interpret clinical documentation for Hierarchical Condition Category (HCC) diagnosis selection. Responsibilities include assigning ICD-CM codes to outpatient claims, ensuring coding accuracy, and collaborating within coding teams. A high school diploma, coding certification, and three years of relevant coding experience are required. The position offers a competitive salary within the hiring range of $25.83 - $43.91 per hour, with options for a signing bonus. #J-18808-Ljbffr

Exemption Status: Non-Exempt Hiring Range: $25.83 - $43.91 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations . Schedule Details: Monday through Friday Scheduled Hours: 7:00am-3:30pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5458 Coding Services Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as...

CareFirst is looking for a Risk Adjustment Coding Specialist to support the CMS-HCC Medicare Advantage Risk Adjustment and HHS-Risk Adjustment Data Validation audit. This position requires an Associate's Degree in a related field and CCS certification upon hire. The role involves verifying diagnosis codes and maintaining coding guidelines. Candidates should have at least 3 years of relevant coding experience and be adaptable to various technology platforms. Position offers a hybrid work model, allowing some remote work. Salary ranges from $51,984 to $95,304 with a comprehensive benefits package. #J-18808-Ljbffr

Hcc Risk Adjustment Auditor/Coder We are looking for HCC Risk Adjustment Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position works to improve the quality of coding documentation and data in the medical record and HCC database. The HCC Risk Adjustment/Auditor reports on the accuracy and consistency of the data in accordance with accepted and established standards. Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and application of coding classifications, such as ICD-9-CM and/or ICD-10-CM. Auditors also record documentation to ensure compliance in the collection of outpatient diagnoses and services. Essential Duties and Responsibilities include the following: Works as an integral member of the Finance Department. Code review super bills and patient medical records for proper use...

Allmed Staffing Inc is seeking a Certified Medical Coder for a full-time remote role. The ideal candidate will be responsible for the accurate coding of medical services across various settings. This position requires a high school diploma or GED, along with 3+ years of coding experience and active certification from AAPC or AHIMA. Strong experience in CMS HCC Risk Adjustment Models is essential, along with advanced coding knowledge. #J-18808-Ljbffr

Job Details Job Location: Burlingame, CA 94010 Salary Range: $42.79 - $48.75 Hourly ESSENTIAL JOB FUNCTIONS HCC Coding and Risk Adjustment (RA) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines. Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy. Provider Training and Clinical Documentation Improvement (CDI) Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding. Provide one‑on‑one and group training to providers and clinical staff to improve documentation quality and accuracy. Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards. Data Analysis and Reporting Analyze coding data to identify trends,...

Village Practice Management Company, LLC (VillageMD) is seeking a full-time Texas Licensed Clinical Coder to work in a remote environment. This role involves reviewing, analyzing, and coding diagnostic information in patient charts while ensuring compliance with established coding guidelines and identifying opportunities for improved accuracy. The ideal candidate will possess a professional coding certification and at least one year of experience in advanced professional coding, particularly with HCC coding. Proficiency with Electronic Health Records and Microsoft Office applications is essential. #J-18808-Ljbffr