719 hcc coder jobs found

Job Description The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Schedule Full-time (Non-Exempt) Flexible, may require some evening and weekends Primary Duties and Responsibilities Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness. Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. Create training presentations to educate staff in Medicare coding guidelines, with focus on Quality Measures...

HCC CoderAdministration Office - Alhambra, CA 91801OverviewSalary Range $34.00 - $39.00 HourlyDescriptionPosition SummaryThe HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services.Schedule:Full-time (Non-Exempt)Flexible, may require some evening and weekendsPrimary Duties and ResponsibilitiesReview of medical records to ensure accuracy and claims for proper documentation and coding and completeness.Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.Create training...

HCC Coder Administration Office - Alhambra, CA 91801 Overview Salary Range $34.00 - $39.00 Hourly Description Position Summary The HCC Coder will be responsible for evaluating the accuracy and consistency of coded clinical data quality results and reports in accordance with accepted and established standards. The HCC Coder will collaborate with the Billing Manager and Medical Director in providing expertise in the use and application of current coding classifications including but not limited to ICD-10-CM, CPT, E&M and record documentation to ensure compliance in the collection of outpatient diagnoses and services. Schedule: Full-time (Non-Exempt) Flexible, may require some evening and weekends Primary Duties and Responsibilities Review of medical records to ensure accuracy and claims for proper documentation and coding and completeness. Communicate with providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for...

Cotiviti is seeking Remote Risk Adjustment / HCC Coders for full-time permanent roles. The coder conducts diagnosis code abstraction for Medicare, Commercial, and Medicaid programs, applying ICD-10-CM guidelines and Cotiviti/client requirements to ensure high-quality outcomes. Responsibilities include reviewing records, staying current with guidelines, and communicating findings to Team Lead. Training is 8 AM–5 PM ET; 40 hours weekly, remote work across time zones. #J-18808-Ljbffr

Seeking multiple full-time Remote HCC Coders (Coder 1), who will conduct accurate and compliant diagnosis code abstraction for Medicare, Commercial, and Medicaid risk adjustment programs, while applying coding guidelines and communicating findings to team leadership. Key responsibilities Review medical records for accurate diagnosis code abstraction across various chart types Stay current on coding guidelines through required trainings and personal research Communicate findings, errors, and suggestions to facilitate continuous improvement within the team 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 proficiency in designated coding platforms

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...

Seeking HCC Coders for a remote Coding Project. MUST HAVE HUMANA EXPERIENCE $21-$23 hr Responsibilities Ability to review medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility). May have special projects that will entail a full coding review. Ability to code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA's Coding Clinic and well as Cotiviti and client specific coding guidelines. Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy. Ability to regularly and consistently achieve over 95% quality accuracy. Appropriately communicate with management regarding workload, production expectations and deliverables. Utilizes the 'Dispute Resolution' process when disagreement occurs related...

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...

Datavant, the data collaboration platform for healthcare, is seeking an HCC coder to review medical records and code diagnoses using ICD-10 CM guidelines, ensuring accurate reflection of patient conditions for risk adjustment and reimbursement. The role requires a minimum of 2 years' HCC coding, extensive ICD-10 knowledge, and AHIMA or AAPC credentials. You must be able to work remotely, manage time efficiently, and thrive in a fast-paced environment. #J-18808-Ljbffr

NECC is seeking a detail‑oriented HCC Coder to ensure accurate outpatient coding and documentation. You will work with Billing and Medical Director to apply ICD-10-CM, CPT, HCPCS and HCC guidelines, promoting quality measures and risk adjustment accuracy. You will review records for accuracy, educate staff on Medicare rules, and lead coding process improvements, with travel up to 10% for facility coverage as needed. #J-18808-Ljbffr

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...

CareFirst BlueCross BlueShield seeks an experienced Risk Adjustment Coding Specialist to support retrospective risk adjustment, RADV audits, and related coding functions. The role involves reviewing medical records, ensuring compliance with coding guidelines, and developing Commercial Risk Adjustment coding guidelines. The position requires 3 years of HCC coding experience, RHIT/RHIA preferred, and CCS/CCS-P or CRC upon hire. #J-18808-Ljbffr

Millennium Physician Group seeks a Level II Risk Adjustment Coding Specialist to abstract ICD-10-CM codes from encounter documentation, conduct audits, and contribute to VBAT and MRA analyses in New York. The role requires 2+ years of coding experience, including 1 year of HCC coding, and strong knowledge of ICD-10-CM conventions, with proficiency in MS Office and EMR systems. You will collaborate with leadership to meet accuracy and productivity targets. #J-18808-Ljbffr

Insight Global is seeking a Senior Medical Coder specializing in Risk Adjustment coding to review clinical data and assign ICD-10-CM codes that support risk adjustment and HCC reporting. The role requires meticulous chart review, strong coding compliance, and familiarity with CMS and Medicare Advantage rules. Collaboration with providers will enhance documentation quality and coding accuracy. #J-18808-Ljbffr

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

Astrana Health in Monterey Park, CA is seeking a Risk Adjustment coder to review and ensure accurate ICD-10-CM/HCC documentation across Medicare Advantage, ACA, and commercial lines. You will educate providers and work with IPAs to improve coding quality. You will travel up to 75% and balance on-site fieldwork with hybrid support, maintaining up-to-date knowledge of CMS guidelines and payer requirements while meeting productivity targets. #J-18808-Ljbffr

Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey Park, CA. The role requires converting provider documentation into compliant HCC coding and educating providers on CMS requirements while traveling to provider sites as needed. Qualified candidates hold CCS/CPC certification with 3+ years of risk adjustment coding experience, strong EHR skills, and the ability to work in a hybrid setting, including on-site visits and remote #J-18808-Ljbffr

Managed Resources, Inc. is seeking a skilled HCC/E/M coder for a fully remote, full-time role serving healthcare clients nationwide. The position emphasizes accurate ICD-10-CM coding, risk adjustment, and client collaboration to ensure compliant documentation and optimal reimbursement. The ideal candidate brings 5–7 years of HCC coding experience, current credentials (CPC/COC/CCS-P or CRC preferred), and strong Excel/EMR proficiency. #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,...

Community Health Network, Inc. is seeking a Remote Risk Adjustment Coder to review patient charts, ensure outpatient HCC coding accuracy, and support CMS compliance from home. Reporting to the CDI Manager, you will use various platforms to complete workflows across eligible states. The role requires 3+ years in outpatient risk adjustment and coding, with preferences for population health experience and relevant certifications. This is a remote role with growth opportunities within the CDI team. #J-18808-Ljbffr

Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical records and clinical documentation to accurately assign ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong experience with medical record review, coding compliance, and CMS guidelines, ensuring all diagnoses are fully supported by clinical evidence. #J-18808-Ljbffr

VNS Health is seeking a skilled Medical Coder with Risk Adjustment expertise to review provider documentation and assign ICD-10 codes aligned with CMS HCC methodology. You will monitor coding accuracy and participate in data validation, audits, and training across departments. Applicants should have at least two years of payor experience, knowledge of ICD-10-CM, CPT-4, HCPCS, and HIPAA; willingness to collaborate with care teams and leadership to improve compliance and outcomes. #J-18808-Ljbffr

Hcc Risk Adjustment Medical CoderRequired Skills & Experience-Medicare HCC experience is required -ICD 10 experience -2 years experience as a risk adjustment coder -CCS or CPC certified through AAPC or AHIMANice to Have Skills & ExperienceMedicaid Coding ExperienceJob DescriptionInsight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume seasonal project supporting Medicare risk adjustment initiatives. Responsible for coding 2 Charts per hour.Perform accurate HCC risk adjustment coding for Medicare populations Review and code medical records in accordance with ICD and risk adjustment guidelines Meet established quality standards and productivity metrics Complete coding work while maintaining an average throughput of approximately 2 charts per hourCompensation: $20.00-$24.00/hr. Exact compensation may vary based on several factors, including skills, experience, and education.

Community Health Network, Inc. is seeking a Remote Risk Adjustment Coder to review patient charts, ensure outpatient HCC coding accuracy, and support CMS compliance from home. Reporting to the CDI Manager, you will use various platforms to complete workflows across eligible states. The role requires 3+ years in outpatient risk adjustment and coding, with preferences for population health experience and relevant certifications. This is a remote role with growth opportunities within the CDI team. #J-18808-Ljbffr