300 medicare hcc risk adjustment coder jobs found

Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume, remote seasonal project supporting Medicare initiatives. Coders will review and code records with a target of 2 charts per hour. Candidates must have Medicare HCC experience, at least 18 months in risk adjustment coding, and certifications such as CCS, CPC, or CRC. Benefits include medical, dental, vision, HSA/FSA/DCFSA and 401k; paid time off. #J-18808-Ljbffr

Insight Global is seeking experienced HCC Risk Adjustment Medical Coders for a high-volume, remote seasonal project supporting Medicare initiatives. Coders will review and code records with a target of 2 charts per hour. Candidates must have Medicare HCC experience, at least 18 months in risk adjustment coding, and certifications such as CCS, CPC, or CRC. Benefits include medical, dental, vision, HSA/FSA/DCFSA and 401k; paid time off. #J-18808-Ljbffr

Insight Global is seeking an experienced HCC Risk Adjustment Coder for a fully remote, high-volume Medicare project. This 5-month contract offers a flexible schedule and full-time hours, with an average of about 2 chart reviews per hour and a focus on accurate documentation of chronic conditions. Applicants should have 2+ years in risk adjustment coding, strong ICD-10 knowledge, and an active CPC (AAPC) or CCS (AHIMA) certification to qualify. #J-18808-Ljbffr

Gonzaba Medical Group is seeking a skilled Risk Adjustment Coder to document and validate acuity diagnoses for the Medicare Advantage population. You will review medical records, code ICD-10-CM, CPT, and HCPCS, and ensure documentation supports reported HCC codes under capitated contracts. The role requires AHIMA or AAPC certification and 3+ years of Risk Adjustment experience, with HIPAA compliance and strong attention to detail. #J-18808-Ljbffr

Seasonal HCC Risk Adjustment Medical Coder Work Location: FULLY REMOTE Contract Length: 5 Months Pay: $20.00 - $25.00 per hour Shift: Full Flexibility - MUST work 40 hours in a week Job description: Day-to-Day Responsibilities Insight 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 hour Requirements: Medicare HCC experience is required ICD 10 experience 2 years experience as a risk adjustment coder CCS certified(AHIMA) or CPC certified (AAPC) Personal Computer with ability to virtually connect...

AIxBlock Operations Featured Jobs Special Referral HCC Risk Adjustment Medical Coder (USA-based only - Remote) Remote — United States HCC risk adjustment coding ICD-10-CM MEAT documentation CMS V28 Medical record review Coding quality assurance Special Referral gives your application an enhanced referral route, helping it stand out and potentially improving your chances of being considered. Important note: AIxBlock is building its contractor bench ahead of client engagements. Work volume will scale as its client pipeline grows; ongoing assignments are not guaranteed. About the role AIxBlock is looking for US-based experienced, certified HCC risk adjustment coders to join its contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 model standards within its purpose-built coder workbench platform. This is a remote, per-chart or hourly contract engagement. Volume will scale as the client...

Gonzaba Medical Group is seeking a skilled Risk Adjustment Coder to document and validate acuity diagnoses for the Medicare Advantage population. You will review medical records, code ICD-10-CM, CPT, and HCPCS, and ensure documentation supports reported HCC codes under capitated contracts. The role requires AHIMA or AAPC certification and 3+ years of Risk Adjustment experience, with HIPAA compliance and strong attention to detail. #J-18808-Ljbffr

We are looking for US-based experienced, certified HCC risk adjustment coders to join our contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 model standards — all within our purpose-built coder workbench platform. This is a remote, per-chart or hourly contract engagement. Volume will scale as our client pipeline grows; we are building the bench now so we can move quickly when engagements launch. What You’ll Do Review outpatient and ambulatory encounter documentation for Medicare Advantage members Validate AI-suggested diagnosis codes and manually add any missed diagnoses Document MEAT (Monitor / Evaluate / Assess / Treat) evidence per code, referencing specific source text in the chart Flag ambiguous documentation, legibility issues, or charts requiring escalation Participate in over-read / inter-rater reliability QA process Work within CMS V28 HCC model mapping...

We are looking for US-based experienced, certified HCC risk adjustment coders to join our contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 model standards — all within our purpose-built coder workbench platform. This is a remote, per-chart or hourly contract engagement. Volume will scale as our client pipeline grows; we are building the bench now so we can move quickly when engagements launch. What You’ll Do Review outpatient and ambulatory encounter documentation for Medicare Advantage members Validate AI-suggested diagnosis codes and manually add any missed diagnoses Document MEAT (Monitor / Evaluate / Assess / Treat) evidence per code, referencing specific source text in the chart Flag ambiguous documentation, legibility issues, or charts requiring escalation Participate in over-read / inter-rater reliability QA process Work within CMS V28 HCC model mapping standards...

Job ID: 6283Req ID: 1133Location: Tulsa, OK, USAPosted: 2026-09-26Job Family: CommercialPay Type: SalaryJOB SUMMARY:The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity.KEY RESPONSIBILITIES:• Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements.• Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines.• Identify unsupported diagnoses, over coding, under-coding, and documentation gaps.• Provide detailed audit findings and recommendations to coding teams, providers,...

Medasource is seeking experienced Risk Adjustment Coders to support Centene’s Risk Adjustment Data Validation (RADV) audit initiative. This is a fully remote contract opportunity supporting CMS RADV audit and coding validation activities. The ideal candidates will have strong risk adjustment coding experience, a detailed understanding of CMS guidelines and HCC models, and the ability to accurately review medical records and validate submitted diagnoses. Accuracy and attention to detail are critical to the success of this project. Location: 100% Remote Employment Type: W2 Contract Contract End Date: September 30, 2027 Schedule: Full-time, Monday-Friday Pay Range: $27-$29/hour, based on experience and level Project Overview Our client is expanding its support for CMS Risk Adjustment Data Validation (RADV) audit activities. Risk Adjustment Coders will be responsible for reviewing medical records and audit packages to validate member information, diagnosis coding, HCC conditions, and...

Location Detail: 80 Seymour Street (10008) Shift Detail: Requires ON-SITE visits to Medical Offices in Connecticut. Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary The Risk Adjustment Coder Educator develops and implements an enterprise-wide risk...

Job Title: Remote Risk Adjustment Medical Coder Work Location: Remote Pay: $20-$21/hour Day-to-Day Responsibilities Insight 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 (2 charts per hour) Meet established quality standards and productivity metrics Must Haves: -Medicare HCC experience is required -18 months experience as a risk adjustment coder REQUIRED! -CCS certified (AHIMA) or CPC certified (AAPC) or CRC certified (AAPC) Work Load: 2 charts per hour, average of 74 pages per chart Benefits packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account...

Location: New York, United StatesCompany: AAPCPosted: Coding SpecialistInspire health. Serve with compassion. Be the difference.Job SummaryResponsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire...

Job Description Job Description Description The Certified Risk Coder plays a critical role in supporting Astrana Health's value-based care and risk adjustment initiatives by ensuring the accurate capture and validation of diagnoses through comprehensive medical record review and coding analysis. This position partners closely with providers and clinical teams to improve documentation quality, coding accuracy, and compliance with CMS risk adjustment guidelines. The ideal candidate brings strong coding expertise, a passion for provider education, and a commitment to enhancing organizational performance through accurate risk capture, regulatory compliance, and continuous process improvement. Our Values:  Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Review medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses and...

Risk Adjustment Nurse/Coder AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA) in Doral, FL! Status: Full-time permanent position (40 hours) Standard working hours: 8am to 4:30pm EST, M-F Location: This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary The Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical...

Location: Florida, New York, United StatesCompany: ADP, Inc.Posted: The Senior Risk Adjustment Coder is responsible for accurate and compliant risk adjustment coding through retrospective documentation auditing, provider-facing education, and two-sided chart reviews. This role partners closely with physicians, practice staff, and operational teams to improve documentation specificity, support new PCP onboarding, reinforce ongoing education, and enhance RAF accuracy, compliance, and revenue integrity across targeted populations.Essential Duties and Responsibilities:Conduct retrospective documentation audits to validate diagnosis capture, coding accuracy, and compliance with CMS, ICD-10-CM, and organizational guidelinesPerform two-sided chart reviews to identify documentation gaps, unsupported diagnoses, and opportunities for recapture and coding specificityEvaluate medical records for complete and compliant support of submitted diagnoses, including assessment of M.E.A.T. criteria...

Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II for the Northern California market. This role will conduct high-volume chart reviews to identify coding gaps and drive education for providers, with travel to provider offices up to 50% of the time in San Francisco, San Mateo, and Santa Clara. You will review data to ensure Medicare Advantage, ACA, and Commercial risk adjustment documentation requirements are met, and report on KPIs like HCC recapture and AWVs. #J-18808-Ljbffr

Coding Specialist Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the...

Risk Adjustment HCC Coder - Remote Medical Coding Job in Baltimore, Maryland Remote Opportunity | Full-Time | Permanent/Direct Hire | Two Openings Join a collaborative risk adjustment and clinical documentation integrity workflow as a Risk Adjustment HCC Coder supporting FQHC and value-based care populations. In this remote medical coding job, you will review medical records to validate HCC opportunities, confirm accurate ICD-10-CM coding, and determine whether diagnoses are supported by clinical documentation. This remote Risk Adjustment Coder role is associated with the Baltimore, Maryland area, a dynamic healthcare hub known for its strong medical community and access to leading clinical and healthcare organizations. Apply now to join a team focused on coding accuracy, compliant risk capture, and improved documentation quality. Risk Adjustment HCC Coder Job Details Work Arrangement: Remote Employment Type: Permanent/direct opportunity Schedule:...

DescriptionRisk Adjustment Coding AuditorThe Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise.Your ResponsibilitiesEvaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practicesProtects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirementsPerforms Retrospective and Prospective chart reviews to ensure accurate risk adjustment reportingVerifies and ensures the accuracy, completeness, specificity and appropriateness of...