Hcc coder jobs | Healthcare Careers

HCC Coder

The Judge Group, LLC New York, NY

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...

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Remote HCC Coder

Insight Global New York, NY

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...

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Remote Medical Coder - HCC/Risk Adjustment Specialist

ALLMED Staffing New York, NY

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

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Remote Diagnostic Coder - Primary Care & HCC Expert

Village Practice Management Company, LLC (VillageMD) New York, NY

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

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Remote HCC Medical Coder ICD-10 & Risk Adj Contract

The Judge Group, LLC New York, NY

A national recruitment agency is looking for experienced HCC Medical Coders for a fully remote position. The role involves reviewing medical charts, assigning ICD-10 codes for risk adjustment, and ensuring compliance with coding standards. Candidates should have at least 2 years of coding experience and be proficient in meeting accuracy and productivity standards. This contract offers a pay rate of $27/hour with specified training and working hours. #J-18808-Ljbffr

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Remote Senior Risk Adjustment Coder - HCC/RADV Expert

Ankura New York, NY

A consulting firm specializing in health care disputes seeks a Sr. Associate to utilize their expertise in coding, revenue cycle, and clinical operations. Responsibilities include coding diagnoses from medical records and managing small projects while ensuring compliance with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills. There is a competitive salary range of $85,000 to $200,000 and opportunities for hybrid work arrangements. #J-18808-Ljbffr

Full Time

Medical Coding and Billing Analyst

C2Q Health Solutions Hybrid (NY)

JOB PURPOSE: Responsible for supervising, evaluating, and consistently improving the day-to-day operations of Medical Practice. This role is responsible for accurate and timely billing of insurance claims and patient statements across multiple sites, implements accurate medical coding policies, and enhances operational processes. It involves acting as a liaison between coding operations and clinical staff, training and coaching medical personnel on coding guidelines, and ensuring the accuracy and timeliness of clinical documentation. Additionally, the role includes analyzing and optimizing diagnosis data submission processes, presenting performance results to leadership, and supporting HCC/RAF optimization strategies. The role will also oversee the training of Medical Practice Assistants, Physician and IDT disciplines in ICD-9/ICD-10 guidelines. JOB RESPONSIBILITIES: Responsible to deliver accurate and timely billing of insurance claims and patient statements for all...

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HCC Coding Auditor

The Judge Group, LLC New York, NY

HCC Auditor (Humana Experience Required) – Contract (3–6 Months) We are seeking experienced HCC Auditors with Humana experience to support a HCC coding project. This contract assignment will run approximately 3–6 months with full‑time hours (minimum 40 hours per week). Role Overview The Auditor Specialist will perform quality assurance reviews on coded medical charts according to client‑specific guidelines. This role requires strong accuracy, adaptability, and the ability to work independently in a fast‑paced remote environment. Key Responsibilities Audit coded charts assigned by the Quality Supervisor following client‑specific guidelines Navigate multiple client guideline sets with minimal difficulty Maintain 95%+ accuracy at the diagnosis level Respond to rebuttals submitted by coders or auditors Participate in weekly project review meetings Complete additional tasks as assigned by the Quality Project Manager Required Qualifications Humana experience is required High school...

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Texas Licensed Clinical Coder

Village Practice Management Company, LLC (VillageMD) New York, NY

To support the transformation of primary care delivery, the full-time Texas Licensed Clinical Coder will review, analyze, and code diagnostic information in patient charts while ensuring compliance with coding guidelines and identifying coding opportunities for improved accuracy, all in a remote work environment. Key responsibilities Review and code diagnostic information in patient charts, identifying opportunities for improved coding accuracy Validate missed coding opportunities and ensure compliance with coding guidelines and regulations Audit patient charts to maintain accurate coding practices Required qualifications GED or Bachelor's degree (preferred) Professional Coding Certification such as CPC, CCS, or CCS-P required; CRC certification is a plus Minimum of 1 year of experience in advanced professional coding, with HCC coding experience required Experience providing coding education in an outpatient environment, preferably in a Primary Care Practice Proficiency with payer...

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Risk Adjustment Coder

Village Center for Care, Inc. New York, NY

Position: Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - 87,195.23 annual salary **CPC, CCS, RHIT or RHIA and CRC are required** Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO package, 10 Paid...

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Clinical Documentation Coder

Summit Health Inc New York, NY

About Our Company We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com,...

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Value Based Coder II

CommonSpirit Health New York, NY

Value Based Coder II Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate...

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Compliance Coding Auditor

Sentara Healthcare New York, NY

City/State Norfolk, VA Work Shift First (Days) Overview: Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within...

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Remote ICD-10 Coder

Nightingale's List New York, NY

Job Description Job Title: Remote ICD-10 Outpatient Coder, AAPC Certified, Short-Term AI Pilot Project (1099) Job Type: Contract, 1099, Remote, Part-Time Pay: $40 to $45 per hour, depending on experience Location: Remote, US-based only About the Project Nightingale's List is sourcing AAPC-certified outpatient coders for a short-term pilot project with a healthcare AI company. This is a contract opportunity to support an exciting initiative comparing US coder performance against established benchmarks, with strong potential to grow into a larger ongoing engagement based on pilot results. What You'll Be Doing Reviewing clinical transcripts and assigning accurate ICD-10-CM codes Identifying primary diagnoses and secondary conditions Highlighting sentence-level text spans that support each coding decision Completing 5 test cases followed by approximately 20 production cases Working within the client's coding platform, full training and gold standard examples provided...

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Coder I - Billing & Audit - FT - Days - MSS - Hybrid Eligible

Memorial Healthcare System Florida, NY

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....

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Inpatient Coding Compliance Auditor - HIM - FT - Days - Remote Eligible

Memorial Health Care System New York, NY

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities: Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines; possesses substantial knowledge of MSDRG, APRDRG,...

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Coder I - MPG - FT - Days - MSS - Remote Eligible

Memorial Healthcare System New York, NY

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. 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: Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data. Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing). May assign and sequence basic CPT (Current Procedural...

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Outpatient Medical Coder

Health Partners Management Group Inc New York, NY

Overview COMPANY OVERVIEW: Health Partners Management Group, Inc (HPMG) is a government contracting company with several outpatient coder positions for the Federal Government. You will be a remote W-2 HPMG employee coding for the federal government; U.S. Citizenship is REQUIRED. Certifications CERTIFICATIONS: CPC, RHIT, RHIA, CCS-P (Must provide proof of active certification(s)) Qualifications QUALIFYING SPECIALTIES INCLUDE: Outpatient primary care, same day surgery/APV, emergency department, observation, and outpatient specialty services. Billing, Denial Management, Radiology/Laboratory, and HCC coding is NOT CONSIDERED qualifying for this role. EXPERIENCE: Coding personnel in this position are required to possess a minimum of three (3) years (4 years for Level II) of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of two (2) years of medical coding or auditing experience if that...

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Medical Coder

The Judge Group New York, NY

About the Role Type: Contract Duration: Contract through end of January (possibility of extension) Schedule: 40 hours per week (part‑time option available at 20 hours, must follow training schedule) Rate: $27/hr Start Date: ASAP We are seeking experienced Medical Coding Specialists to join on a short‑term contract through the end of January. This role is fully remote and requires a commitment to a two‑week training period before beginning production work. Candidates must be credentialed through AAPC or AHIMA (CPC‑A applicants will not be considered). Responsibilities Complete assigned medical coding tasks accurately and efficiently Participate in required two‑week training program Follow established coding guidelines and compliance standards Meet productivity and quality expectations Participate in assessment setup prior to start Qualifications Required Active certification through AAPC or AHIMA Risk Adjustment or HCC Experience Strong knowledge of medical...

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Medical Coder II - ProFee Surgery

Lee Health Florida, NY

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...

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Senior Medical Coder

The Judge Group, LLC New York, NY

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...

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Lead CDI Coder

Evergreen Nephrology New York, NY

Who You Are You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change. Your Role As a Lead CDI Coder you are responsible for partnering with physician offices within our established partnerships to assist in translating healthcare documentation into standardized codes, ensuring accurate coding and billing of patient encounters, as supported by the medical record. You serve as a subject matter expert in Coding and Documentation. Role...

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Certified Risk Adjustment Coder (CRC), Senior Associate

Ankura New York, NY

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest...

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Certified Risk Adjustment Coder (CRC), Senior Associate

Ankura New York, NY

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest...

49 hcc coder jobs found