924 hcc coder with crc jobs found

Location Address: Remote OfficeSanta Fe, NM 87501 Compensation Pay Range: Minimum Offer $24.27Maximum Offer $41.33Now Hiring: HCC Coder with CRC Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote PRN HCC Coder with CRC to join our team.Type of Opportunity: Full timeJob Exempt: NoJob is based: Remote Workers New MexicoWork Shift: Varied Days and Hours (United States of America) Responsibilities: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Some key responsibilities include: Reviews patients entire current medical record, assigning...

Presbyterian Healthcare Services is seeking a skilled Remote HCC Coder with CRC to join our team. This full-time, remote position is based in New Mexico and offers a competitive hourly wage in a supportive care setting. Responsibilities include coding inpatient and outpatient records using ICD-9/10-CM and CPT-4, ensuring accuracy, compliance, and timely documentation. Experience with EMR, encoder, and Microsoft Office is preferred. #J-18808-Ljbffr

Now Hiring: HCC Coder with CRC Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote PRN HCC Coder with CRC to join our team. Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $24.27 Maximum Offer $41.33 Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Some key responsibilities include: Reviews patients entire current medical record, assigning appropriate...

Location Address: Remote OfficeSanta Fe, NM 87501 Compensation Pay Range: Minimum Offer $24.27Maximum Offer $41.33Now Hiring: HCC Coder with CRC Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote PRN HCC Coder with CRC to join our team.Type of Opportunity: Full timeJob Exempt: NoJob is based: Remote Workers New MexicoWork Shift: Varied Days and Hours (United States of America) Responsibilities: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Some key responsibilities include: Reviews patients entire current medical record,...

Presbyterian Healthcare Services in New Mexico is seeking a Remote HCC Coder with CRC to join our team. This full-time, non-exempt position supports coding across inpatient, outpatient, ER, home health, and professional services to ensure accurate reimbursement and compliance. The ideal candidate will hold a coding credential (HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA), have 1–3 years of experience, and be proficient with CPT/ICD coding, Word, Excel, PowerPoint, and EMR systems. #J-18808-Ljbffr

Presbyterian Healthcare Services in New Mexico is seeking a skilled Remote PRN HCC Coder with CRC to join our team. This is a full-time position based remotely from Santa Fe, NM. Code inpatient and outpatient hospital records and professional services using ICD-9/10 CM and CPT-4, ensuring 95% accuracy in accordance with UHDDS/CMS guidelines. HS diploma and coding credentials required; 1–3 years experience and proficiency with Word/Excel/PowerPoint. #J-18808-Ljbffr

To support a growing healthcare team, the full-time Remote HCC Coder with CRC will review and code various medical records for reimbursement and compliance, ensuring adherence to federal regulations while maintaining accuracy and productivity standards. Key responsibilities Reviews and assigns appropriate codes to inpatient and outpatient medical records, ensuring compliance with federal regulations Abstracts essential data for quality improvement and communicates issues to the Clinical Coding Manager & Supervisor Maintains up-to-date knowledge of coding guidelines and resolves pre-bill edits and denials for assigned accounts Required qualifications High school diploma or GED required Must possess one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H, CPC, or RHIT/RHIA with additional credential within one year One to three years of experience as a coder required Proficiency in computer skills, including Word, Excel, and PowerPoint Experience with...

Virtual Vocations Inc. is seeking a full-time Remote HCC Coder with CRC to review and code medical records for reimbursement and compliance while maintaining accuracy and productivity. The role requires coding certifications (HCS-D/CCS/CCS-P/CPC-H/CPC or RHIT/RHIA with additional credential within one year) and 1–3 years of coding experience. Proficiency in Word, Excel, and PowerPoint is expected. #J-18808-Ljbffr

Presbyterian Healthcare Services in New Mexico is seeking a Remote HCC Coder with CRC to join our team. This full-time, non-exempt position supports coding across inpatient, outpatient, ER, home health, and professional services to ensure accurate reimbursement and compliance. The ideal candidate will hold a coding credential (HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA), have 1–3 years of experience, and be proficient with CPT/ICD coding, Word, Excel, PowerPoint, and EMR systems. #J-18808-Ljbffr

To support a growing healthcare team, the full-time Remote HCC Coder with CRC will review and code various medical records for reimbursement and compliance, ensuring adherence to federal regulations while maintaining accuracy and productivity standards. Key responsibilities Reviews and assigns appropriate codes to inpatient and outpatient medical records, ensuring compliance with federal regulations Abstracts essential data for quality improvement and communicates issues to the Clinical Coding Manager & Supervisor Maintains up-to-date knowledge of coding guidelines and resolves pre-bill edits and denials for assigned accounts Required qualifications High school diploma or GED required Must possess one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H, CPC, or RHIT/RHIA with additional credential within one year One to three years of experience as a coder required Proficiency in computer skills, including Word, Excel, and PowerPoint...

ADP, Inc. in Virginia Gardens, FL is seeking a full-time Medical Coder to support retrospective and concurrent chart reviews, translating and validating medical record data using ICD-10-CM and CPT coding. The role emphasizes accuracy in diagnosis coding, compliance with HIPAA, and collaboration with physicians and care teams. The position requires CPC/CRC/CPMA/CDEO certification, at least 1 year of medical coding experience, and strong MS Word/Excel skills, with familiarity of HCC Dashboard #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder FT Technical Virginia Gardens, FL, US 2 days ago Requisition ID: 1040 Salary Range: $25.00 To $30.00 Hourly Title of Position: Medical Coder Position Summary: The Medical Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of ICD10-CM and CPT coding to translate, input, extract and validate medical record data. Responsibilities: Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting Review clinical documentation and assign accurate diagnosis codes according...

Las Mercedes Management in Florida is seeking a Medical Coder to support retrospective and concurrent chart reviews, translating data using ICD-10-CM and CPT coding to input, extract, and validate medical record information. The role demands CPC/CRC/CPMA/CDEO certifications, at least 1 year of medical coding experience, and proficiency with Microsoft Word/Excel and HCC Dashboard tools, with focus on documentation compliance and HIPAA. #J-18808-Ljbffr

Covenant HealthCare is seeking a Risk Adjustment Coding Specialist to ensure accurate documentation and coding for HCC performance across CHP providers. You will educate primary and specialty care teams, review charts, and support analytics to improve coding accuracy and revenue capture. The role emphasizes collaboration with physicians, auditors, and CHP leadership, with opportunities to lead educational initiatives and stay current on coding updates. #J-18808-Ljbffr

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.Job DetailsWe are seeking a Professional Remote Medical Coder who will apply his or her technical and specialized expertise to help healthcare programs remain compliant with government regulations while identifying opportunities for increased financial success. The Professional Medical Coder will work from his or her home office to review, analyze,...

Title: Risk Adjustment Coding Auditor Location: Remote Job Type: Contract (6 months) Compensation: $35.00 – $38.00 per hour Industry: Health Insurance About the Role Our firm is partnering with a leading nonprofit health insurance organization that serves members across commercial, Medicare, and Medicaid health plans. We are seeking an experienced Risk Adjustment Coding Auditor to help ensure the accuracy, integrity, and compliance of clinical coding and documentation used in risk adjustment programs. In this role, you will support accurate reimbursement and regulatory compliance by conducting detailed coding audits, identifying documentation gaps, and providing expert guidance on risk adjustment coding practices. This position is ideal for a coding professional with strong HCC auditing experience who is passionate about data accuracy, compliance, and continuous improvement. Job Description As a Risk Adjustment Coding Auditor, you will evaluate coded clinical data...

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: 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.For physician billing, collaborates with billing department to ensure all bills are satisfied. For hospital, routes to billing charge entry errors...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Highmark Inc. is seeking a remote HCC coding specialist to support risk adjustment initiatives for MA and ACA programs. You will translate physician documentation into ICD-10 codes and HCC categories, ensuring compliance with CMS guidelines and Highmark policies. In this role you will collaborate with physicians, Quality, Compliance, and leadership to improve documentation, accuracy, and audit readiness, while handling multiple coding projects across retro and prospective models. #J-18808-Ljbffr

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking...

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking...

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking...