615 hcc coder jobs found

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, women’s 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 understand—and 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 span—from children to seniors. A...

PedIM Healthcare in Lecanto, Florida is looking for a proactive HCC Coder to join their Primary Care team. This critical role supports accurate risk adjustment and compliance with CMS guidelines while ensuring high-quality patient outcomes. The ideal candidate will have at least 2 years of experience in HCC/Risk Adjustment coding and possess strong analytical skills. Enjoy a supportive workplace with comprehensive benefits aimed at employee well-being and development. #J-18808-Ljbffr

Seeking a full-time Remote Certified HCC Coder, the position focuses on conducting accurate diagnosis code abstraction for Medicare, Commercial, and Medicaid risk adjustment programs while ensuring compliance with coding guidelines and effective communication with team leadership. Key responsibilities Reviews medical records for accurate diagnosis code abstraction across various chart types to support risk adjustment initiatives Stays current on coding guidelines through required trainings and personal research Communicates findings, errors, and suggestions to team leadership to promote continuous improvement Required qualifications Minimum High School Diploma Nationally certified coder in good standing through AAPC or AHIMA (e.g., CRC, CPC, CCS) 1-2 years of experience in medical risk adjustment/HCC coding Strong knowledge of medical terminology and anatomy and physiology Intermediate computer skills with the ability to use designated coding platforms

Omega Healthcare Management Services seeks a Coder HCC to review medical records, assign accurate diagnoses and procedures, and support DRG/APC reimbursement across inpatient, outpatient and professional services. The role emphasizes risk adjustment, coding accuracy, HIPAA compliance, and collaboration with care teams. Requires CPC/CCS/RHIT/RHIA or equivalent credentials and at least two years of risk adjustment and 3M/Epic experience. #J-18808-Ljbffr

Flexzo Ai is seeking a CPC-certified Medical Coder in Florida to perform HCC coding in a remote capacity. You will review records, assign ICD-10-CM codes, and ensure documentation supports codes while maintaining quality and productivity. Candidates should have HCC experience, strong ICD-10-CM knowledge, exceptional attention to detail, and solid communication skills to collaborate with leadership and teammates in a compliant, fast-paced environment. #J-18808-Ljbffr

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...

Flexzo Ai is seeking a CPC-certified Medical Coder in Florida to perform HCC coding in a remote capacity. You will review records, assign ICD-10-CM codes, and ensure documentation supports codes while maintaining quality and productivity. Candidates should have HCC experience, strong ICD-10-CM knowledge, exceptional attention to detail, and solid communication skills to collaborate with leadership and teammates in a compliant, fast-paced environment. #J-18808-Ljbffr

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...

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...

Omega Healthcare Management Services is seeking a Coder HCC to review medical records, abstract and code diagnoses, procedures, and DRG/APC with precise sequencing for accurate reimbursement and reporting. The role emphasizes HIPAA compliance, data extraction for billing, and maintaining high quality standards. Qualified candidates hold CPC, CCS, RHIT, RHIA, CRC or equivalent, with at least two years in risk adjustment, plus experience with 3M and Epic systems. Competitive benefits are provided. #J-18808-Ljbffr

Job Summary (List Format) - Outpatient E/M Coder - Assign accurate CPT®, ICD-10-CM, and HCPCS Level II codes for outpatient E/M services based on Medical Decision Making (MDM) and current guidelines. - Apply HCC (Hierarchical Condition Category) coding principles to support risk adjustment and complete clinical documentation. - Review provider documentation for completeness, specificity, and medical necessity; query providers when needed. - Ensure compliance with CMS, AMA, ICD-10-CM guidelines, payer requirements, and internal coding policies. - Meet established coding productivity and quality benchmarks. - Assist with coding audits, provide education feedback, review denials, and support other coding projects as assigned. - Participate in team meetings, training sessions, and after-hours meetings scheduled in Pacific Time. - Maintain patient privacy and confidentiality in accordance with HIPAA and organizational standards. - Stay updated on coding guideline changes,...

GBMC Health Partners is seeking a Clinical Documentation Improvement Nurse/Nurse Coder to join our Primary Care team. The ideal candidate is a clinically experienced nurse coder who is EMR savvy, knowledgeable in HCC and ICD-10 coding, with exposure to ambulatory medicine. Responsibilities include chart review, identifying documentation improvement opportunities, and educating practice physicians on documentation and coding changes. EPIC experience preferred. #J-18808-Ljbffr

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. 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...

Brief Description: Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20+ acres just north of mid‑town Miami and houses support departments such as Finance, Accounting, Human Resources, Marketing, and more. Join us to do purposeful work with a diverse and respectful team. Job Title: HCC Risk Adjuster and Coder Job Summary: Reviews medical records and accurately codes and sequences diagnosis in order to obtain maximum reimbursement. Essential Job Functions Audit PACE medical records to ensure accuracy upon enrollment and disenrollment, and assign appropriate HCC codes per established department guidelines. Perform follow‑up coding of medical records resulting from internal and external reviews that identify coding discrepancies. Meet with PACE providers via MS Teams to assist with documentation improvement tied to reimbursement. Assist with other department duties as necessary....

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

Miami Jewish Health in Miami, FL is seeking an experienced HCC Risk Adjuster and Coder to review medical records, code diagnoses, and sequence codes to maximize reimbursement. The role requires an Associate degree in Health Information Management and at least 1 year of risk adjustment coding experience. You will audit records, collaborate via MS Teams with PACE providers, and support department duties in a fast-paced environment. #J-18808-Ljbffr

Job Description Responsibilities Come and join the RMC Family! We have been in the community since 5. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Responsible for abstracting, reviewing, auditing and the education of all coding and compliance processes, as they relate to CPT, HCPCS and ICD and/or HCC activity. QUALIFICATIONS : To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge,...

A leading healthcare provider in Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities, focusing on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding guidelines. Candidates should have a Bachelor's degree in healthcare or equivalent experience, CPC/CCS/CRC certification, and at least 2 years of outpatient coding experience. Competitive hourly pay ranges from $25.30 to $35.74. #J-18808-Ljbffr

Spectraforce Technologies seeks a Quality Assurance Coder/Auditor to lead risk adjustment coding quality within Medicare/Medicaid programs. You will review records, perform audits, and educate providers on accurate diagnoses and documentation to improve coding accuracy. This hybrid Phoenix role requires travel to physician offices weekly, a minimum of 5 years of medical coding with HCC experience, and CCS-P/CRC/CPC/COC credentials. The position is 6 months with potential extension. #J-18808-Ljbffr

Summary/Objective Under limited supervision the Coder HCC reviews medical records and performs coding on all diagnoses, procedures, DRG/APC and charge codes. The Coder HCC uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder HCC will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. Abstracts...

Overview 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. See what it's like to work as a Coder at Cotiviti: https://www.youtube.com/watch?v=-VgcV09cxCo ResponsibilitiesReviews 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,...

CorroHealth Inc is seeking Risk Adjustment Coding Specialists to join the HCC Coding Team. This role involves reviewing medical records to abstract codes following Medicare and specific client requirements. The position is remote, part-time with flexible hours after meeting productivity goals. Qualified candidates should have recent HCC coding experience, a valid coding credential, and excellent communication skills. Responsibilities include coding records and maintaining high quality standards. #J-18808-Ljbffr

Prisma Health is seeking a skilled HCC Coding Specialist to conduct prospective and retrospective reviews, abstract HCC codes, and communicate opportunities for improvement with providers at Patewood Memorial Hospital. Ideal candidates have 5 years of professional fee coding experience and hold CPC and CRC certifications. Proficiency with Epic and payor-specific software is required to ensure accurate reporting. #J-18808-Ljbffr

St Luke's Health is looking for a Value Based Coder II in Houston, Texas. This role involves reviewing patient medical records to enhance coding opportunities with a strong emphasis on Hierarchical Condition Categories (HCC). The ideal candidate will have 2+ years in outpatient coding and a deep understanding of risk adjustment principles. Responsibilities include providing education to network providers and ensuring compliance with coding guidelines. #J-18808-Ljbffr