Certified hcc coder jobs | Healthcare Careers

Certified HCC Coder

Virtual Vocations Inc United States

A company is looking for an HCC Certified Coder. Key Responsibilities Perform coding for patient health assessments and conduct peer coding quality reviews Conduct prospective medical chart audits related to Hierarchical Condition Categories (HCC) Educate clinicians on coding opportunities and maintain compliance with CMS Risk Adjustment guidelines Required Qualifications High school diploma or GED required CPC, CRC, CCS, or CCS-P credentials required Minimum of three (3) years of experience in a Certified Coder role, including HCC coding experience Proficiency with Microsoft Office and Electronic Medical Records Experience in Medicare programs and regulations, including Risk Adjustment

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HCC Certified Coder

Virtual Vocations Inc United States

A company is looking for an HCC Certified Coder. Key Responsibilities Perform coding for patient health assessments and conduct peer coding quality reviews Conduct prospective medical chart audits related to Hierarchical Condition Categories (HCC) Educate clinicians on coding opportunities and ensure adherence to CMS Risk Adjustment guidelines Required Qualifications, Training, and Education High school diploma or GED required CPC, CRC, CCS, or CCS-P credentials required Minimum of three (3) years of experience in a Certified Coder role, including HCC coding experience Proficiency with Microsoft Office and Electronic Medical Records Experience in Medicare programs and regulations, including Risk Adjustment

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HCC Certified Coder

Monogram Health United States

Position: HCC Certified Coder The HCC Certified Coder will be responsible for abstracting clinical information and assigning appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines. The HCC Certified Coder will analyze and translate medical and clinical documentation in alignment with the CMS Risk Adjustment Models. The successful candidate will collaborate closely with the coding team and providers to ensure accurate and compliant documentation and coding practices. Responsibilities Perform coding for patient health assessments, conduct peer coding quality reviews, and support provider and coding team training and education. Conduct prospective medical chart audits to identify, monitor, and document claims and encounter coding related to Hierarchical Condition Categories (HCC). Perform coding abstraction and medical chart quality audits to ensure clinicians have accurate clinical documentation to support ICD-10...

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Coder Certified - HCC Physician Practice (1.0 D)

Franciscan Health United States

Work From Home Work From Home Work From Home, Indiana 46544 The Certified Risk Adjustment Coder (CRC) within Franciscan is a position responsible for the auditing and reviewing of specific visit types for diagnosis, coding, and medical documentation compliance using certified coding guidelines. This position assists providers to thoroughly document all chronic disease processes and manifestations in the patients' medical record utilizing their clear understanding of guidelines, regulations, diagnostic coding, and risk adjustment. Additional responsibilities include helping billing staff establish the medical necessity of charges, providing feedback to clinical staff and providers on coding issues, and reviewing denials. WHO WE ARE Franciscan Health is a non-profit health care ministry with primary and specialty care physician groups located throughout Indiana and Illinois. Franciscan is known for our mission of caring. Our values of Respect for Life; Fidelity to Our...

Full Time

Facility ED Coder - 18553

Nemours Children's Health Remote (Orlando, FL)

Job Description Join our team as a Facility ED Coder! Role responsibilities include assessing documentation for each service rendered in the hospital’s place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida’s enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc). This position is remote. Applicants must...

Full Time

Outpatient Surgical and Observation Coder - 18315

Nemours Children's Health Orlando, FL

Job Description Join our team as a Remote Outpatient Surgical and Observation Coder ! Role responsibilities include assessing documentation for each service rendered in the hospital’s place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida’s enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc). This is...

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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Medical Coder

INFINITO INC Doral, FL

Key Responsibilities: • Review and analyze patient medical records, including provider documentation, diagnostic reports, and treatment plans • Assign accurate ICD-10-CM diagnosis codes in compliance with CMS-HCC risk adjustment guidelines • Ensure all coded diagnoses are supported by appropriate clinical documentation • Identify gaps, inconsistencies, or missing documentation and initiate provider queries when necessary • Maintain compliance with CMS, Medicare Advantage, and internal coding policies • Meet established productivity, accuracy, and quality assurance benchmarks • Utilize electronic medical record (EMR) systems and risk adjustment coding tools effectively • Participate in internal and external audits, training, and continuous education initiatives • Collaborate with providers and internal teams to improve documentation quality and coding accuracy Job Qualifications: 1–2+ years of experience in risk adjustment or HCC coding Experience with Medicare Advantage, CMS...

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Medical Coder

INFINITO INC Tallahassee, FL

Key Responsibilities: • Review and analyze patient medical records, including provider documentation, diagnostic reports, and treatment plans • Assign accurate ICD-10-CM diagnosis codes in compliance with CMS-HCC risk adjustment guidelines • Ensure all coded diagnoses are supported by appropriate clinical documentation • Identify gaps, inconsistencies, or missing documentation and initiate provider queries when necessary • Maintain compliance with CMS, Medicare Advantage, and internal coding policies • Meet established productivity, accuracy, and quality assurance benchmarks • Utilize electronic medical record (EMR) systems and risk adjustment coding tools effectively • Participate in internal and external audits, training, and continuous education initiatives • Collaborate with providers and internal teams to improve documentation quality and coding accuracy Job Qualifications: 1–2+ years of experience in risk adjustment or HCC coding Experience with Medicare Advantage, CMS...

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Coder II - ProFee Surgery

Lee Health Cape Coral, FL

Coder II - ProFee Surgery 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. Includes inpatient E/M coding and clinic E/M coding as well as trauma surgery coding and bedside procedure coding. Experience required in at least E/M coding or trauma surgery coding. Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC,...

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Senior Medical Coder - Outpatient ProFee Coding, HealthCare

Amazon Bondurant, IA

Senior Medical Coder - Outpatient ProFee Coding, HealthCare The Finance Operations organization works with every part of Amazon to deliver world-class operations accounting and operational excellence with the highest standards of controllership and efficiency. We design, operate, and continuously improve the core systems and processes that accurately and timely pay suppliers, invoice customers, and report financial results that enable the business to scale with confidence. Amazon Health Services (AHS) continues to rapidly expand its Healthcare FinOps capabilities to support the growth of its One Medical Commercial Health services. As part of the global Healthcare Finance Operations team, you will work alongside highly driven, talented professionals who are deeply committed to financial integrity, scalability, and process excellence. Success in this role requires a strong sense of ownership, a passion for raising the bar, and the ability to drive measurable results through...

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Medical Coder

INFINITO INC Jacksonville, FL

Key Responsibilities: • Review and analyze patient medical records, including provider documentation, diagnostic reports, and treatment plans • Assign accurate ICD-10-CM diagnosis codes in compliance with CMS-HCC risk adjustment guidelines • Ensure all coded diagnoses are supported by appropriate clinical documentation • Identify gaps, inconsistencies, or missing documentation and initiate provider queries when necessary • Maintain compliance with CMS, Medicare Advantage, and internal coding policies • Meet established productivity, accuracy, and quality assurance benchmarks • Utilize electronic medical record (EMR) systems and risk adjustment coding tools effectively • Participate in internal and external audits, training, and continuous education initiatives • Collaborate with providers and internal teams to improve documentation quality and coding accuracy Job Qualifications: 1–2+ years of experience in risk adjustment or HCC coding Experience with Medicare Advantage, CMS...

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Certified Medical Coder

The Villages Health System, LLC The Villages, FL

Job Title Onsite Position - Not Remote About The Villages Health The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 800 team members. Our unique care model gives us both the time and resources to truly care for our patients, along with a company culture that supports a healthy work-life balance for our team members. Our purpose, mission and vision is to empower Villagers and the surrounding communities to live out their dreams by keeping them healthy and healing them quickly. Together, we are changing the way healthcare is delivered and are making a positive difference in the lives of our patients and the communities we serve. In doing so, The Villages Health is creating America's Healthiest Hometown. Responsibilities Accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Review medical records, provider notes, dictation and other documentation and compare to the...

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Outpatient Surgical and Observation Coder

Nemours Children's Hospital Orlando Orlando, FL

Coding And Billing Specialist Join our team as a Coding and Billing Specialist! Role responsibilities include assessing documentation for each service rendered in the hospital's place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida's enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges),working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc). Applicants must reside in one of the...

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Medical Coder

INFINITO INC Orlando, FL

Key Responsibilities: • Review and analyze patient medical records, including provider documentation, diagnostic reports, and treatment plans • Assign accurate ICD-10-CM diagnosis codes in compliance with CMS-HCC risk adjustment guidelines • Ensure all coded diagnoses are supported by appropriate clinical documentation • Identify gaps, inconsistencies, or missing documentation and initiate provider queries when necessary • Maintain compliance with CMS, Medicare Advantage, and internal coding policies • Meet established productivity, accuracy, and quality assurance benchmarks • Utilize electronic medical record (EMR) systems and risk adjustment coding tools effectively • Participate in internal and external audits, training, and continuous education initiatives • Collaborate with providers and internal teams to improve documentation quality and coding accuracy Job Qualifications: 1–2+ years of experience in risk adjustment or HCC coding Experience with Medicare Advantage, CMS...

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Coding Auditor, Facility

Scout Exchange OR

Title - Coding Auditor Location - Clackamas, OR Job Type - Permanent Job Summary: To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP),...

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Inpatient Facility Medical Coder (40h Day)

Softpath System OR

Candidates must reside either in Washintgon or Oregon to be considered for this position. To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid...

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Senior Medical Coder

RELI Group, Inc. Milford Mill, MD

Senior Medical Coder Fully Remote Windsor Mill, MD 21224 Overview Salary Range $60,000.00 - $80,000.00 Salary Position Type Full Time Education Level None Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impactwhether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and...

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Medical Coder

INFINITO INC Tampa, FL

Key Responsibilities: • Review and analyze patient medical records, including provider documentation, diagnostic reports, and treatment plans • Assign accurate ICD-10-CM diagnosis codes in compliance with CMS-HCC risk adjustment guidelines • Ensure all coded diagnoses are supported by appropriate clinical documentation • Identify gaps, inconsistencies, or missing documentation and initiate provider queries when necessary • Maintain compliance with CMS, Medicare Advantage, and internal coding policies • Meet established productivity, accuracy, and quality assurance benchmarks • Utilize electronic medical record (EMR) systems and risk adjustment coding tools effectively • Participate in internal and external audits, training, and continuous education initiatives • Collaborate with providers and internal teams to improve documentation quality and coding accuracy Job Qualifications: 1–2+ years of experience in risk adjustment or HCC coding Experience with Medicare Advantage, CMS...

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Risk Adjustment Coder

Medasource New York, NY

Risk Adjustment Coder (Project) Contract from Mid June-Late September Full Time, M-F, Day Shift Fully Remote Equipment Provided • Review inpatient and outpatient medical records to identify and validate diagnosis codes. • Abstract and assign ICD-10-CM diagnosis codes based on supporting clinical documentation. • Apply CMS risk adjustment guidelines and HCC model rules when validating coded conditions. • Confirm that documentation supports submitted diagnoses and aligns with CMS RADV audit standards. • Verify member demographic accuracy and correct beneficiary identification associated with each record. • Ensure record completeness, including the presence of all required medical record documentation and supporting materials. • Confirm submission package integrity and formatting requirements are met in accordance with RADV audit protocols. • Identify coding discrepancies, documentation deficiencies, and unsupported diagnoses. • Maintain productivity standards for high-volume chart...

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Sr Risk Adjustment Coder

University HealthCare Alliance (UHA) Newark, NJ

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do: Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk adjustment...

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Medical Coder

PRIDE Health Houston, TX

Pride Health is looking Outpatient Medical Coder (E/M – Neurology/Neurosurgery) to support our client’s medical facility which is Hybrid (Houston, TX) Job Type: Outpatient Medical Coder (E/M – Neurology/Neurosurgery) Duration: 13 weeks Contract with possibility of extension Location: Houston, TX (Hybrid) Rate: $30 to $32/hr on W2 Job Summary Job Summary Responsible for reviewing clinical documentation and diagnostic results to accurately assign ICD-10-CM, CPT-4 codes, and modifiers for billing, reporting, research, and regulatory compliance. Ensures adherence to official coding guidelines and organizational policies. Key Responsibilities Review clinical documentation and assign appropriate ICD-10-CM and CPT-4 codes with modifiers Perform outpatient coding, including Evaluation & Management (E/M) services Ensure compliance with coding guidelines, regulations, and internal policies Utilize APC reimbursement methodologies Extract and input accurate data for reporting and...

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Medical Coder Multi-Specialty (Hospital & Clinic)

Wellspire Medical Group Houston, TX

Medical Coder Multi-Specialty (Hospital & Clinic) Location: Kingwood or Remote Employment Type: Full-Time Reports To: Revenue Cycle Manager Position Summary We are seeking a highly skilled, detail-driven, and high-producing certified medical coder with multi-specialty experience to join our growing healthcare organization. This role requires strong proficiency in both hospital and outpatient clinic coding, with specialty expertise in: Cardiology Urology Dermatology General Surgery Pulmonology The ideal candidate has 2+ years of coding experience, maintains current certification (AAPC or equivalent), and consistently demonstrates accuracy, productivity, and strong clinical understanding across multiple service lines. This is a high-impact role within a performance-driven, collaborative organization focused on compliance, precision, and revenue integrity. Core Responsibilities Coding & Documentation Review Accurately assign ICD-10-CM, CPT, and HCPCS Level...

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Outpatient Medical Coder (Neurology/Neurosurgery)

Navitas Healthcare LLC Houston, TX

Job Title: Outpatient Medical Coder (Neurology/Neurosurgery) Location: Houston, TX (1 day onsite) Job Type: Contract Shift: 08:00 AM - 05:00 PM Position Summary "Navitas Healthcare, LLC" is seeking an experienced Outpatient Medical Coder to review clinical documentation and assign accurate ICD-10-CM, CPT, and modifier codes for compliant billing and optimal reimbursement. Strong E/M coding experience required; Neurology/Neurosurgery exposure preferred. Key Responsibilities Assign ICD-10-CM, CPT, and modifier codes for outpatient encounters Review documentation for accuracy, compliance, and completeness Follow coding guidelines and APC reimbursement methodologies Identify documentation gaps and query providers Collaborate with clinical teams and support coding quality initiatives Qualifications Education: High School Diploma (Associate degree preferred) Certification (one required): CCS, CPC, RHIT, CMC, or CCA Experience: 2+...

360 certified hcc coder jobs found