Remote HCC Coding Specialist | Risk Adjustment Expert

Highmark Health

Highmark Health in Pennsylvania seeks a skilled HCC coder to support risk adjustment projects for Medicare Advantage and ACA populations. You will translate physician documentation into ICD-10 diagnoses and HCC categories in line with CMS guidelines and RADV audit requirements.

You will collaborate with physicians, Quality, Compliance, and enterprise partners to ensure accurate coding, support RPM initiatives, and contribute to process improvements across coding workflows.

#J-18808-Ljbffr

Apply

Vacancy posted 12 hours ago

Similar jobs that could be interesting for youBased on the Remote HCC Coding Specialist | Risk Adjustment Expert in United States vacancy

Remote HCC Coding Specialist | Risk Adjustment Expert
...Highmark Health is seeking a skilled HCC coder to support Medicare Advantage, ACA, and ESRD projects. You will translate... ...physicians, quality, compliance, and leadership to ensure accurate risk adjustment coding. Remote office-based with 0–25% travel, requiring CPC/CRC/CCS/RHIT...
Remote work
Risk
Work at office
Highmark Health
United States
11 hours ago
Remote HCC Coding Specialist | Risk Adjustment Expert
...Highmark Health is seeking a skilled HCC coder for remote office-based work focusing on Medicare Advantage and ACA risk adjustment. You will analyze documentation to translate it into ICD-10 codes and HCC categories while supporting RPM coding projects and audits. Ideal...
Remote work
Risk
Work at office
Highmark Health
South Carolina
5 hours ago
Hierarchical Condition Category (HCC) Coding Specialist
$27.02 - $41.85 per hour
...its beneficiaries enrolled in Risk Adjusted government programs such as... ...Condition Category (HCC) Coding, medical coding, clinical terminology... ...(CRC), Certified Coding Specialist (CCS), Registered Health Information... ...Position Type: Remote Office-based Teaches / trains...
Remote work
Risk
For contractors
Work at office
Local area
Flexible hours
Highmark Health
United States
2 days ago
Remote HCC & ProFee Coder - Risk Adjustment Pro
...ConsultingPosted: 2026-10-18Dahl Consulting is seeking an experienced HCC & ProFee Coder for a remote contract-to-hire role. You will validate ICD-10-CM codes, perform CMS and Rx HCC risk adjustments, and review CPT II documentation to support accurate risk adjustment and...
Remote work
Risk
Contract work
Dahl Consulting
Sacramento, CA
19 hours ago
HCC Risk Adjustment Coder
$25 - $26.7 per hour
...record requests? Datavant Connect Login Back to Jobs HCC Risk Adjustment Coder 8250 Remote - United States Full-time regular Datavant is the... ...) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate...
Remote work
Risk
Full time
Fixed term contract
Work at office
Local area
Flexible hours
Datavant
Eastern, KY
3 days ago
Specialist Coding Auditor
...Quality Assurance Auditor with a coding background. The role focuses... ...provider education and risk mitigation initiatives.Location is Phoenix, AZ or remote. Requirements include 5+ years... ...professional coding, 3+ years in HCC/risk adjustment, 2+ years auditing/QA, and active...
Remote work
Risk
AAPC
New York, NY
5 days ago
BHMG Ambulatory CDI Specialist
...Ambulatory CDI Specialist Baptist Health Medical Group... ...our team! This is a remote work position that requires... ...utilizing their coding and clinical expertise... ...accuracy. They identify HCC diagnosis codes,... ...HCC, Rx HCC coding and risk adjustment assignment as it relates...
Remote work
Risk
Work at office
Flexible hours
Baptist Health
United States
4 days ago
CDI Specialist I
...Details POSITION: Remote IP CDI DEPARTMENT :... ...Integrity (CDI) Specialist is accountable for reviewing... ...illness and facilitate proper coding. Needing a CDI that has experience with Risk Adjustment Tools like Vizient, Elixhauser, HCC's, SOI/ROM. Specifically...
Remote work
Risk
Hourly pay
Weekly pay
Temporary work
For contractors
Flexible hours
Afternoon shift
Trinity Clinics AMN
Phoenix, AZ
1 day ago
Risk Adjustment Coding Specialist - Remote / Telecommute
$31.03 - $36.03 per hour
...work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong knowledge... ...and guide less experienced coding specialists. Experience... ...Risk adjustment coding. HCC coding. Medical record review...
Remote work
Risk
Temporary work
Work experience placement
Cynet Systems
United States
5 days ago
Remote Risk-Adjustment Medical Coder
...Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review... ...ICD-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong experience with...
Remote work
Risk
Insight Global
Florida
1 day ago
Supervisor, Risk Adjustment Quality Assurance and Auditing
...Summary The Supervisor, Risk Adjustment Quality Assurance and... ...the risk adjustment coding and documentation audits... ...as a subject matter expert for Risk Adjustment Audit... ...Condition Category (HCC) coding experience required... ...be opportunity for remote work within all jobs...
Remote work
Risk
Contract work
Work from home
Home office
Excellus BCBS
Remote
1 day ago
Consulting Actuary - ACA Risk Adjustment
$143.62k - $229.79k
...Consulting Actuary -ACA Risk Adjustment As a Consulting Actuary -ACA Risk Adjustment, you will... ...with ACA Risk Adjustment, including HHS-HCC model methodology, risk score... ...Preferred Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices...
Remote work
Risk
Blue Cross and Blue Shield of North Carolina
United States
4 days ago
Manager, Risk Adjustment Encounter Data Reconciliation
$118.6k - $157.14k
...Reporting to the Director of Risk Adjustment Prospective Programs,... ...valid clinical codes that were rejected at the... ...unconfirmed or un-vouched HCC codes, protecting the... ...executing data sweeps.Expert-level Microsoft Excel capability... .... (Monday & Friday - remote, Tuesday - Thursday...
Remote work
Risk
Temporary work
Work experience placement
Local area
Monday to Friday
Inland Empire Health Plan
Rancho Cucamonga, CA
1 day ago
HCC Risk Adjustment Coder
Datavant Job Opportunity We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified...
Remote work
Risk
Datavant
United States
2 days ago
HCC Risk Adjustment Coder
$25 - $26.7 per hour
...change in healthcare. As an HCC (Hierarchical Condition Category... ...records to identify and code diagnoses using a standardized... ...representation of patient conditions for risk adjustment and reimbursement purposes.... ...skills, ability to work in a remote environment, and time...
Remote work
Risk
Flexible hours
Datavant
Dallas, TX
16 days ago
Sr. Director - Risk Adjustment
$160k - $195k
Sr. Director - Risk Adjustment Department: Quality - Risk Adjustment... ...improvements in risk capture, coding accuracy, provider... ...CRC, CPC, CCS, RHIA, RHIT Expert knowledge of CMS-HCC, Medicare Advantage, ACA,... ...Working Conditions This is a remote position. Travel is required...
Remote work
Risk
Full time
Contract work
Jobleads-US
Alhambra, CA
6 days ago
Program Manager, Risk Adjustment Coding and Quality
...is hiring a Program Manager Risk Adjustment Coding and this position youll be responsible... ...as the subject matter expert for risk adjustment coding... ...optimization. Expert in HCC and HHS risk adjustment methodology... ...is working full time remote. Hybrid is a minimum of 2...
Remote work
Risk
Full time
For contractors
Work at office
2 days per week
Blue Cross Blue Shield of Minnesota
Eagan, MN
7 days ago
Program Manager, Risk Adjustment & Stars
$83.99k - $119.97k
...The Program Manager, Risk Adjustment & Stars, serves as the... ...Alpine's technical teams (coding, data, analytics, IT)... ...spanning coding/HCC teams, clinical quality... ...to be a deep technical expert. Strong relationship... ...HIPAA compliant for all remote or telecommuting...
Remote work
Risk
Full time
Home office
Alpine Physician Partners
Remote
11 days ago
Consulting Actuary - ACA Risk Adjustment
$143.62k - $229.79k
...Remote Flex - North Carolina Remote Flex - Mississippi Remote... ...a Consulting Actuary - ACA Risk Adjustment, you will serve as a strategic... ...Adjustment , including HHS-HCC model methodology, risk score... ...understanding of diagnosis coding (ICD-10-CM) , provider documentation...
Remote work
Risk
Full time
Work at office
Local area
Flexible hours
2 days per week
BlueCross BlueShield of North Carolina
United States
4 days ago
Senior Risk Adjustment Coder (Remote)
...Posted: 2026-10-07The Senior Risk Adjustment Coder is responsible for accurate... ...compliant risk adjustment coding through retrospective... ...on documentation integrity, HCC capture, coding guidelines, and... ...performanceServe as subject matter expert on PBACO risk adjustment tools...
Remote work
Risk
Work at office
ADP - Automatic Data Processing
New York, NY
3 days ago
HCC Medical Coder
...Insight Global is seeking experienced HCC Risk Adjustment Medical Coders to support a large-scale Medicare Risk Adjustment initiative. This is a fully remote, high-volume seasonal opportunity ideal for coding professionals who thrive in a flexible work environment while...
Remote work
Risk
Hourly pay
Weekly pay
Full time
Seasonal work
Immediate start
Flexible hours
Insight Global
New York, NY
2 days ago
HCC Coder
$1,300 - $1,550 per week
...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...
Remote work
Risk
Weekly pay
Permanent employment
Full time
Day shift
GHR Travel Nursing
Baltimore, MD
2 days ago
Risk Adjustment Coder
...Risk Adjustment Coder Location: Baton Rouge, LA 70809 Contract Length... ...and ACA Risk Adjustment coding. This position supports ongoing... ...demonstrated experience with CMS-HCC coding methodologies, medical... ...to work independently in a remote environment while maintaining...
Remote work
Risk
Contract work
Work at office
Strategic Staffing Solutions
Baton Rouge, LA
1 day ago
Risk Adjustment Coding Auditor
...Risk Adjustment Coding Auditor The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant... ...complete and accurate diagnosis code capture based on CMS HCC categories. Maintains knowledge of relevant regulatory...
Remote work
Risk
Javen Technologies
United States
3 days ago
Clinical Documentation Expert - Fully Remote | Upto $84/hr
$84 per hour
...hour Location: Remote Role Responsibilities... ...of illness, and risk of mortality accurately... ...Collaborate with coding, compliance, and clinical... ...Clinical Documentation Specialist) or CDIP (Clinical... ...Experience with HCC risk adjustment and outpatient CDI programs...
Remote job
Risk
Contract work
Summer work
Mercor
New York, NY
6 days ago
Clinical Documentation Expert - Fully Remote | Upto $65/hr
$65 per hour
...45–$65/hour Location: Remote Commitment: 10+ hours/week... ...accuracy, completeness, and coding integrity. Evaluate AI-... ...codes. Contribute expert input on annotation guidelines... ...Epic . Experience with HCC or risk-adjustment coding. Prior AI/ML annotation...
Remote job
Risk
Contract work
Work experience placement
Summer work
10 hours per week
Flexible hours
Mercor
New York, NY
a month ago
Reimbursement Specialist
$24.82 - $33.59 per hour
...Mid-Level Reimbursement Specialist At Veracyte, we... ...full-time, non-exempt, remote role with a schedule of... ...trends and potential risks Reviewing and ensuring... ...ICD and HCPCS/CPT coding preferred. ~ Familiarity... ...with Claim Adjustment Reason Codes (NUCC) preferred...
Remote work
Risk
Full time
Work at office
Veracyte
United States
5 days ago
Manager, Compliance Risk Adjustment
$87.7k - $157.8k
...leading external audits related to Risk Adjustment processes. Ensures visibility... ...have the flexibility to work remote from home anywhere in the... ...Serves as a subject matter expert on external audit processes,... ...adjustment oversight and/or coding planning preferred ~ Demonstrated...
Remote work
Risk
Full time
Part time
Work at office
Work from home
Flexible hours
Centene Corporation
Remote
1 day ago
Subject Matter Expert IV - Subject Matter Specialist (NSS012) (CONUS - Washington, DC (Remote) | Senior Consultant - Full-Time) [DOEID012M]
...focus on the broad spectrum of Risk Management, Compliance,... ...DescriptionProSidian Seeks a Subject Matter Expert IV - Subject Matter Specialist (NSS012) headquartered near CONUS - Washington, DC (Remote) to support requirements... ...to place the job reference code in the subject line of your...
Remote work
Risk
Full time
Temporary work
For contractors
Work at office
Flexible hours
Prosidian Consultng
Washington DC
5 days ago
Domain Expert, AI Evaluation Task Writer: Healthcare (Contract, Remote)
$104k - $312k
...Engagement: Independent contractor, fully remote, asynchronous Pay: $50-150/hr for... ...Clinical documentation and coding: clinical documentation integrity and medical... ...CM/PCS and CPT/HCPCS assignment, DRG and risk adjustment, provider queries and coding audits...
Remote work
Risk
Contract work
For contractors
10 hours per week
Patronus AI, Inc.
Remote
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote HCC Coding Specialist | Risk Adjustment Expert. Be the first to apply!