335 hcc risk coder jobs found

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...

Optima Medical in Arizona is seeking a HCC Risk Coder Specialist to perform medical record diagnosis code abstraction based on ICD-10-CM guidelines, CMS guidance, and state/federal regulations. The role starts with a 60-day training at our Scottsdale corporate office before transitioning to remote work. Candidates need at least 1 year of risk adjustment coding, accuracy in fast-paced production, a high school diploma, and an AAPC or AHIMA CRC certification (no CPC-A/CCA). #J-18808-Ljbffr

Optima Medical in Arizona is seeking a HCC Risk Coder Specialist to perform medical record diagnosis code abstraction based on ICD-10-CM guidelines, CMS guidance, and state/federal regulations. The role starts with a 60-day training at our Scottsdale corporate office before transitioning to remote work. Candidates need at least 1 year of risk adjustment coding, accuracy in fast-paced production, a high school diploma, and an AAPC or AHIMA CRC certification (no CPC-A/CCA). #J-18808-Ljbffr

Location: New York, United StatesCompany: VNS HealthPosted: 2026-09-01VNS Health in New York is seeking a healthcare coding professional to conduct provider documentation reviews and assign ICD-10 codes within CMS HCC guidelines, supporting risk adjustment initiatives. Must have two years of payor experience, strong knowledge of ICD-10-CM and related coding systems, and excellent attention to accuracy.You will collaborate with the risk adjustment team, educate providers on coding changes, and participate in audits to ensure compliance and financial accuracy for#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

VNS Health in New York is seeking a healthcare coding professional to conduct provider documentation reviews and assign ICD-10 codes within CMS HCC guidelines, supporting risk adjustment initiatives. Must have two years of payor experience, strong knowledge of ICD-10-CM and related coding systems, and excellent attention to accuracy. You will collaborate with the risk adjustment team, educate providers on coding changes, and participate in audits to ensure compliance and financial accuracy for #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

Northeast Community Clinic is hiring an HCC Coder in Alhambra, CA to ensure accuracy of coded outpatient diagnoses and services. You will review records, collaborate with Billing Manager and Medical Director, and support HIPAA compliance. The role requires 2+ years in healthcare coding, knowledge of ICD-10-CM, CPT, HCPCS, and HCC risk adjustment, and a coding certificate is preferred. Some travel is required. #J-18808-Ljbffr

Northeast Community Clinic is hiring an HCC Coder in Alhambra, CA to ensure accuracy of coded outpatient diagnoses and services. You will review records, collaborate with Billing Manager and Medical Director, and support HIPAA compliance. The role requires 2+ years in healthcare coding, knowledge of ICD-10-CM, CPT, HCPCS, and HCC risk adjustment, and a coding certificate is preferred. Some travel is required. #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

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....

PedIM Healthcare in Lecanto, Florida is looking for a proactive HCC Coder to join their Primary Care team. This critical role supports accurate risk adjustment and compliance with CMS guidelines while ensuring high-quality patient outcomes. The ideal candidate will have at least 2 years of experience in HCC/Risk Adjustment coding and possess strong analytical skills. Enjoy a supportive workplace with comprehensive benefits aimed at employee well-being and development. #J-18808-Ljbffr

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

The MRA Coder role at DaMar Staffing focuses on coordinating retrospective and concurrent chart reviews using HCC coding to translate, input, extract and validate medical record data. You will review medical histories and reports to ensure diagnoses are supported by documentation, schedule chart reviews with physician practices, and help obtain records for audits. Fluency in English and Spanish, a CPC/CPMA/CRC/CCS-P/CCS credential, and expert Excel skills are required to support compliant risk #J-18808-Ljbffr

Advantmed is seeking an experienced HCC/Risk Adjustment Medical Coder to join our remote US team. The ideal candidate will hold CPC or CCS certs, with CRC as a significant advantage, and deep experience in ICD-10-CM and CMS-HCC coding. The role requires meticulous coding of medical records, collaboration with clinicians to resolve documentation gaps, and adherence to HIPAA. BYOD policy applies, a Windows Pro device and reliable internet are required; 20 hours/week minimum, with 40 hours/week #J-18808-Ljbffr

Managed Resources, Inc. is seeking a skilled HCC Coder for a fully remote role serving healthcare clients nationwide. The coder will assign ICD-10-CM codes and HCC mappings, with optional E/M coding duties based on business needs. The position emphasizes accuracy, compliance with Medicare guidelines, and client-specific rules. The ideal candidate has 5–7 years of HCC coding experience or APC/AHIMA credentials (CPC/COC/CCS-P), excellent communication, and proficiency in EMR systems and #J-18808-Ljbffr

Advantmed is seeking experienced Medical Coders specializing in Risk Adjustment and HCC coding. The ideal candidate holds CPC or CCS certification and will code diagnoses and procedures in ICD-10-CM, CMS-HCC, ensuring accuracy and compliance. This remote, US-based role requires 20 hours per week minimum, with a preference for 40 hours. BYOD policy; Windows Pro device and reliable internet are mandatory. Collaboration with health professionals is essential to maintain coding quality. #J-18808-Ljbffr

DaMar Staffing is seeking HCC Coders for a remote coding project. Candidates must have Humana experience and be able to review medical records for diagnosis code abstraction across Medicare, Commercial, and Medicaid risk adjustment. You will code according to ICD-10-CM guidelines, use Cotiviti and client-specific rules, and maintain high accuracy while meeting 40-hour weekly expectations. This home-based role requires a distraction-free workspace in the continental US and a high-speed internet #J-18808-Ljbffr

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

Pride Health is seeking a Senior Medical Coder for a remote contract role. The position runs 8am–5pm with a 6-month term and potential extension. Pay ranges from $18 to $20 per hour and compensation is based on experience, credentialing, and education. AAPC or AHIMA certification is required, with at least 3 years of coding experience. Responsibilities include reviewing records, applying ICD-10-CM, CPT, HCPCS, and modifier codes, and performing CMS-HCC/risk adjustment coding as appropriate. #J-18808-Ljbffr

Astrana Health is seeking a Risk Adjustment Coding Specialist to support Medicare Advantage, ACA, and Commercial coding initiatives. The role reports to the Sr. Manager - Risk Adjustment and requires frequent travel to provider sites. Strong collaboration with physicians and staff is essential to ensure CMS guidelines are followed. Responsibilities include reviewing records for HCC coding, conducting audits, training staff, and providing process improvements. #J-18808-Ljbffr

Advantmed is seeking an experienced HCC/Risk Adjustment Medical Coder to join our remote US team. The ideal candidate will hold CPC or CCS certs, with CRC as a significant advantage, and deep experience in ICD-10-CM and CMS-HCC coding. The role requires meticulous coding of medical records, collaboration with clinicians to resolve documentation gaps, and adherence to HIPAA. BYOD policy applies, a Windows Pro device and reliable internet are required; 20 hours/week minimum, with 40 hours/week #J-18808-Ljbffr

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

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