Remote HCC Coding Specialist | Risk Adjustment Expert
Highmark Health
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 candidates have CPC/CRC/CCS/RHIT certifications and 3–5 years of HCC coding experience, with proficiency in MS Word/Excel and CMS guidelines. #J-18808-Ljbffr
$56.2k - $87.05k
...its beneficiaries enrolled in Risk Adjusted government programs such as... ...Condition Category (HCC) Coding, medical coding, clinical terminology... ...coding. Supports all Remote Patient Monitoring (RPM) risk... ...Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information...Remote workRiskFull timeFor contractorsWork at officeLocal areaFlexible hours- ...ConsultingPosted: 2026-10-19Dahl 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 workRiskContract work
$75k - $90k
...motivated Clinical Documentation Improvement (CDI) Specialist in Stillwater, MN, with remote work flexibility. The role involves conducting... ...chart reviews to ensure accurate capture of risk adjustment diagnostic codes, directly improving patient care quality. Ideal...Remote workRiskFull timeWeekend workAfternoon shift$52k - $55.54k
...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 workRiskFull timeFlexible hours- ...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 workRisk
- ...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 workRiskWork at officeFlexible hours
$25 - $27 per hour
...supervision of the Manager of Coding, this position is responsible for ICD-10 coding of Health Risk Evaluations of Commercial, Medicare... ...between ICD-10 coding and HCC (hierarchical condition... ...coding procedures related to risk adjustment. Maintain coding credentials...Remote workRiskHourly payFull timeTemporary workWork experience placementLocal areaWork from homeFlexible hoursShift workNight shift$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 jobRiskContract workSummer work$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 jobRiskContract workWork experience placementSummer work10 hours per weekFlexible hours$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 workRiskFull timeHome office- ...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 workRiskHourly payWeekly payTemporary workFor contractorsFlexible hoursAfternoon shift
$31.03 - $36.03 per hour
...work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~ Strong... ...and guide less experienced coding specialists. Experience: Experience... ...Risk adjustment coding. HCC coding. Medical record review...Remote workRiskTemporary workWork experience placement$71.88k - $129.38k
...Summary The Supervisor, Risk Adjustment Quality Assurance and... ...the risk adjustment coding and documentation... ...Serves as a subject matter expert for Risk Adjustment... ...Hierarchical Condition Category (HCC) coding experience... ...be opportunity for remote work within all jobs...Remote workRiskFull timeContract workWork from homeHome office$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 workRisk- ...HCC/RAF Coding Specialist in Springfield, MA | Baystate Health Careers Department... ...: Population Health / Risk Adjustment Location: Baystate Health... ...Serve as a subject matter expert in HCC, RAF, and risk... ...schedule (3 days on-site, 2 days remote) with the ability to...Remote workRiskHourly payFull timeWork at officeLocal areaMonday to FridayShift work
$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 workRiskTemporary workWork experience placementLocal areaMonday to Friday- 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 workRisk
$157.3k - $262.7k
## Director, Risk AdjustmentApply: California-Remote: Full time: Posted 2 Days... ...and execute a risk adjustment strategy aligned to... ...comprehensive Quality Coding.• Develop and... ...or Certified Coding Specialist (CCS) training• Knowledge... ..., risk adjustment, HCC coding, coding...Remote workRiskFull time- ...POSITION PURPOSE The Manager of Coding and Risk Adjustment is responsible for leading coding... ...serves as the subject matter expert for ICD-10 coding, CMS-HCC risk adjustment, Medicare Advantage... ...compliance. This position is fully remote. DUTIES & RESPONSIBILITIES...Remote workRiskFull time
$110 per hour
...Risk-adjustment / HCC coding leader is a remote review track for evaluating AI outputs across risk adjustment / hcc coding leader specialist operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document...Remote jobRiskFor contractorsWork experience placement10 hours per week- ...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 workRiskFull timeFor contractorsWork at office2 days per week
$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 workRiskFull timeWork at officeLocal areaFlexible hours2 days per week- ...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 workRiskHourly payWeekly payFull timeSeasonal workImmediate startFlexible hours
$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 HCC Coder supporting...Remote workRiskWeekly payPermanent employmentFull timeDay shift- ...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 workRiskContract workWork at office
$54.08k - $60.32k
...LOCATION: REMOTE HOURS: M-F, 8-5 ROLE... ...OVERVIEW The RCM Specialist III is a senior... ...acts as an internal expert for colleagues and... ...benefits inquiries ~ Coding review and... ...scorecard/metrics, adjust workflows, and implement... ...reduce compliance risk, and maximize...Remote workRiskFull time- ...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 workRisk
$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 workRiskFlexible hours- ...identify variances or risks, and support accurate... ...but not limited to coding, auditing, and medical... ...Condition Categories (HCC) or risk adjustment.Experience with Risk... ...learning and becoming an expert on new and... ...needed. This is a remote position. AnewHealth...Remote workRiskFull timeTemporary workLocal areaFlexible hours
$19.21 - $28.73 per hour
...Revenue Cycle Specialist The Revenue Cycle Specialist is... ...such issues. This is a remote position. ESSENTIAL FUNCTIONS... ...: Analyze and adjust/reprice claims to ensure... ...expertise on billing and coding guidelines and regulations... ...| Opportunities in Risk Management In general,...Remote workRiskHourly payMinimum wageFull timeContract workWork experience placementWork at officeLocal areaFlexible hours
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!
- technology integration specialist Columbia, SC
- deployment specialist Columbia, SC
- qc specialist Columbia, SC
- parts specialist Columbia, SC
- ecommerce specialist Columbia, SC
- title specialist Columbia, SC
- records management specialist Columbia, SC
- prior authorization specialist Columbia, SC
- placement specialist Columbia, SC
- work from home chat specialist Columbia, SC





