453 hcc coder jobs found

A company is looking for a temporary HCC Coder (CPC Certified). Key Responsibilities Perform HCC / Risk Adjustment coding reviews accurately and efficiently Apply ICD 10 CM and risk adjustment coding guidelines appropriately Review and code medical records using designated EMR platforms Required Qualifications Active CPC certification (AAPC) - Apprenticeship (CPC A) credentials are not accepted 1-2 years of HCC / Risk Adjustment coding experience Experience working with EMR systems Strong knowledge of ICD 10 CM coding guidelines Ability to work independently in a remote environment

A company is looking for a Remote HCC Coder - Risk Adjustment. Key Responsibilities Review, analyze, and code diagnostic information from patient medical records Apply ICD 10 CM and risk adjustment coding guidelines accurately and consistently Ensure compliance with reimbursement policies, regulatory requirements, and accreditation standards Required Qualifications Minimum 1 year of professional coding experience Risk Adjustment / HCC coding experience with health plans, Medicare, or Medicaid Active AHIMA certification (RHIT, CCS) or AAPC certification (CPC, COC, CIC, CRC) Extensive knowledge of ICD 10 CM Strong understanding of medical terminology, abbreviations, and disease processes

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...

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

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...

IKS Health is hiring HCC Coders About IKS Health: www.ikshealth.com IKS Health’s goal is to enable the efficient delivery of high-quality care through a combination of leading-edge technology and human expertise. The IKS Care Enablement Platform enables us to deliver the chores of healthcare, across administrative, clinical, and operational burdens by utilizing. tech-enabled clinical documentation, medical coding, and revenue integrity solutions for healthcare. We’re redefining the future of Care Enablement and creating transformative value in healthcare. Job Description: HCC Coder must hold one of the following Credentials -CPC, COC, CRC, CCS, RHIT, or RHIA Reviews medical records to identify pertinent HCC codes relative to the patient's health care encounter. Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record. Consistently meet productivity and quality...

Description Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care. What We Do: Medicare REACH ACO: We're at the forefront of Medicare innovation. Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients. Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida. Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered! Our Services: Hospital Medicine Group: Delivering exceptional care in hospitals. Affiliated Medical Practices: Managing several top-tier medical practices. Insurance Agency: Offering comprehensive insurance solutions. Join us on our journey to better health and value-based care! Job Summary The HCC Risk Coder plays a vital role in coordinating and supporting retrospective and concurrent chart reviews while...

We are looking for experienced 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 of diagnosis and...

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...

Drive Accuracy. Influence Outcomes. Protect Revenue. We are seeking a Senior Risk Adjustment Coder (HCC / Medicare Advantage) to play a critical role in risk adjustment accuracy, audit readiness, and clinical documentation excellence. Job Title: Senior Risk Adjustment Coder Location: California (Candidates must be currently based in CA – Hybrid work model;) Employment Type: Full-Time (Direct Hire) Salary Range: $91,000 – $119,000 annually, based on experience, skills, and internal equity About the Role: We are seeking an experienced Senior Risk Adjustment Coder to support a leading healthcare organization focused on accurate risk adjustment, compliance, and documentation excellence. This role is critical in ensuring accurate HCC capture, audit readiness, and high-quality clinical documentation, directly impacting reimbursement accuracy and regulatory compliance. Key Responsibilities: Perform risk adjustment coding and chart abstraction in alignment with...

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...

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

A health insurance provider seeks a Quality Assurance Coder/Auditor based in Arizona to develop risk mitigation and education programs. Responsibilities include reviewing medical records, coding for accuracy, and educating providers on best practices. The position requires at least 5 years of coding experience, with proficiency in HCC coding, and certifications like CCS-P or CPC. This hybrid role promotes flexibility, allowing candidates to work both onsite and remotely within Arizona. #J-18808-Ljbffr

A regional health insurance provider in Phoenix seeks a Quality Assurance Coder/Auditor to develop risk mitigation programs and educate providers. The candidate should have 5 years of coding experience with expertise in Hierarchical Condition Categories (HCC). Responsibilities include medical record reviews, coding analysis, and providing education to healthcare professionals. The position requires residency in Arizona and offers a hybrid work environment, enhancing work-life balance. #J-18808-Ljbffr

HCC Medical Coder needed ASAP! Location: Onsite in West Hills, CA Schedule: Monday-Friday, 8:00 AM to 5:00 PM Setting: Established, reputable medical group Team: Supportive finance and coding team WHAT YOU'LL BE DOING (HIGH LEVEL) Review medical records and superbills for accurate HCC and diagnosis coding Audit provider documentation and support accurate risk adjustment Collaborate with providers and internal teams on coding questions Support quality, compliance, and documentation improvement efforts WHAT WE'RE LOOKING FOR Active coding certification (AHIMA or AAPC) Experience with HCC, ICD10, CPT, and HCPCS Experience in coding, auditing, billing, or claims (1+ year preferred) Knowledge of medical terminology and anatomy Comfortable working in EMRs and Excel Job Type & Location This is a Contract position based out of Calabasas, CA. Pay and Benefits The pay range for this position is $25.00 - $35.00/hr. Eligibility...

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 coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance. Conduct...

*HCC Medical Coder needed* * *Location:* Onsite in West Hills, CA * *Schedule:* Monday-Friday, 8:00 AM to 5:00 PM * *Setting:* Established, reputable medical group * *Team:* Supportive finance and coding team WHAT YOU'LL BE DOING (HIGH LEVEL) * Review medical records and superbills for accurate HCC and diagnosis coding * Audit provider documentation and support accurate risk adjustment * Collaborate with providers and internal teams on coding questions * Support quality, compliance, and documentation improvement efforts WHAT WE'RE LOOKING FOR * Active coding certification (AHIMA or AAPC) * Experience with HCC, ICD10, CPT, and HCPCS * Experience in coding, auditing, billing, or claims (1+ year preferred) * Knowledge of medical terminology and anatomy * Comfortable working in EMRs and Excel *Job Type & Location*This is a Contract position based out of Canoga Park, CA 91304. *Pay and Benefits*The pay range for this position is $25.00 - $35.00/hr. Eligibility...

A healthcare provider in Green Bay seeks a Risk Adjustment Coder Analyst to perform coding reviews of medical records and ensure compliance with CMS HCC guidelines. The role includes educating providers on coding practices, identifying gaps in preventive services, and conducting quality audits. Candidates should have an associate's degree in a healthcare field and 1-3 years' experience in a healthcare setting. Knowledge of ICD-10 codes and Electronic Health Records (EPIC) is preferred. This position offers opportunities for professional development and essential contributions to patient care. #J-18808-Ljbffr

A healthcare organization in Houston seeks an experienced Value Based Coder II to conduct thorough reviews of patient medical records, focusing on Hierarchical Condition Categories (HCC). The role involves delivering provider education, participating in compliance monitoring, and contributing to performance improvement initiatives. Candidates should have a relevant bachelor's degree or equivalent experience, along with coding certifications. Strong knowledge of CPT and ICD-10 coding, risk adjustment models, and excellent communication skills are essential. #J-18808-Ljbffr

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

A leading healthcare coding company is seeking a professional to handle outpatient coding responsibilities, including assigning ICD-10 and CPT codes in accordance with guidelines. The ideal candidate will have 3-5 years of experience and certification in coding systems. Key duties include maintaining patient privacy, following coding processes, and collaborating with clinical staff. This role emphasizes accuracy and adherence to HIPAA guidelines, requiring a thorough understanding of HCC coding. #J-18808-Ljbffr

A leading healthcare organization in Houston is seeking a Value Based Coder II to join its Quality Management/Risk team. This role is crucial for reviewing patient medical records to identify coding opportunities and deliver provider education on HCC. Candidates should have a Bachelor’s degree or equivalent experience, with at least 5 years in healthcare and certification as a CPC, CCS, or CRC. Strong knowledge of coding guidelines and excellent communication skills are essential. This is an opportunity to contribute significantly to process improvement initiatives. #J-18808-Ljbffr

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...