Remote HCC Coding Specialist (Risk Adjustment)
Highmark Health
- Remote job
A leading health insurance provider is seeking an experienced HCC Coding Specialist to deliver quality coding for various risk adjustment programs. The ideal candidate will have at least three years of HCC coding experience, relevant coding certifications, and strong attention to detail. Responsibilities include coding for Medicare Advantage and ACA projects, assisting with regulatory audits, and participating in coding educational initiatives. This remote position requires excellent communication and analytical skills. #J-18808-Ljbffr Highmark Health
- ...Highmark Inc. seeks a qualified HCC Coding Specialist to perform HCC coding on MA, ACA, and ESRD... ...various EMR systems to ensure accurate risk adjustment coding. The role supports RPM coding,... ...guidelines and Highmark policies. Remote, full-time position with collaborative...Remote workRiskFull timeFlexible hours
- ...Highmark Health is seeking a candidate for HCC Coding who will deliver value in risk-adjusted government programs like Medicare Advantage and Affordable Care... ...associate degree in a health-related field. This position is remote with occasional travel requirements. #J-18808-Ljbffr...Remote workRisk
- MedPOINT Management in Sherman Oaks, CA is seeking a detail‑oriented HCC Coding Specialist to join our expanding team. You will play a pivotal role in risk adjustment accuracy and high‑quality healthcare documentation, collaborating with physicians and clinical staff to...Remote jobRisk
- MedPOINT Management in Sherman Oaks, CA seeks a detail-oriented HCC Coding Specialist to ensure accurate risk adjustment coding and compliant documentation. You’ll review medical records, collaborate with clinicians, and stay current with CMS guidelines to support payer...Remote jobRiskWork from homeFlexible hours
- ...Denver, Colorado, United StatesCompany: Strive HealthPosted: 2026-08-02Strivehealth seeks a Coder for Risk Adjustment Coding in Denver, Colorado. This hybrid remote role supports operations by reviewing coding for accuracy, ensuring compliance with regulations, and providing...Remote workRisk
$27.02 - $41.85 per hour
...Hierarchical Condition Category (HCC) Coding SpecialistApplyremote type:... ...beneficiaries enrolled in Risk Adjusted government programs such as... ...coding. Supports all Remote Patient Monitoring (RPM) risk... ...Coder (CRC)* Certified Coding Specialist (CCS)* Registered Health Information...Remote workRiskWork at officeWork from homeFlexible hours- ...-08-10TEKsystems is seeking a Senior Risk Adjustment/Coding Specialist to evaluate and ensure accuracy of risk... ...and outpatient records, ensuring CMS/HCC alignment, and protecting patient... ...of Jacksonville, FL, but offers full remote work. Ideal candidates have 7+ years...Remote workRiskContract work
- UASI is seeking a Risk Adjustment Clinical Documentation Specialist to advance documentation accuracy in a fully remote capacity. The role focuses on supporting coding accuracy, HCC capture, regulatory compliance, and clinical documentation integrity in outpatient settings...Remote jobRisk
- ...CorroHealth Inc is seeking Risk Adjustment Coding Specialists to join the HCC Coding Team. This role involves reviewing medical records to abstract codes following... ...and specific client requirements. The position is remote, part-time with flexible hours after meeting...Remote workRiskPart timeFlexible hours
- Advantmed is seeking experienced Medical Coders with a strong background in Risk Adjustment and HCC coding. The ideal candidate will hold CPC or CCS certification and work remotely from the US, supporting our healthcare organization with accurate, compliant coding. Responsibilities...Remote jobRisk
- ...Heritage Medical Group is seeking a full-time Administrative Family Medicine nurse practitioner in Anaheim, CA to join the Risk Adjustment and HCC Coding Department. The role includes weekly telehealth visits, educating providers to improve documentation and coding...Remote jobRiskFull time
- Advantmed is seeking experienced Medical Coders specializing in Risk Adjustment and HCC coding. The ideal candidate holds CPC or CCS certification and... ...-10-CM, CMS-HCC, ensuring accuracy and compliance. This remote, US-based role requires 20 hours per week minimum, with a...Remote jobRisk
- ...Anaheim, CA is seeking a full-time Administrative Family Medicine nurse practitioner to join the Risk Adjustment and HCC Coding Department. The role blends primarily remote outpatient work with occasional in-person activity and includes telehealth visits once a week. You...Remote workRiskFull time1 day per week
- Astrana Health seeks a Risk Adjustment Coding Specialist II to join our Strategy and Operations team in Monterey... ...documentation into compliant HCC coding and educating providers on CMS... ...setting, including on-site visits and remote #J-18808-Ljbffr Astrana Health ManagementRemote workRisk
- ...the evaluation and improvement of AI tools that assign HCC codes and recommend risk adjustment actions, ensuring clinical accuracy and regulatory compliance... ...or executive stakeholders. Work Terms Location: Remote. Engagement type: Hourly. Compensation ~ Pay...Remote workRiskHourly pay
$110 per hour
...Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Risk-adjustment / HCC coding leader Type: Contract Compensation: $110/hour Location: Remote Role Responsibilities Lead risk adjustment and HCC coding operations across...Remote workRiskContract workSummer work- Baptist Health Medical Group seeks an Ambulatory CDI Specialist to join our team. This remote position requires residency in KY or IN and involves evaluating documentation for coding accuracy and HCC coding. You will guide providers and staff on clinical documentation...Remote jobRiskWork at office
$7.25 per hour
...looking for an Ambulatory CDI Specialist to join our team! This is a remote work position that... ...documentation utilizing their coding and clinical expertise... ...accuracy. They identify HCC diagnosis codes, ensure... ...HCC, Rx HCC coding and risk adjustment assignment as it relates...Remote workRiskHourly payFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work$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- ...TEKsystemsPosted: 2026-08-10TEKsystems is seeking a Risk Adjustment Coding Auditor to ensure accuracy of coded... ..., based out of Eagan, MN but fully remote, requires CRC certification and 3+... ...adjustment records.You will review CMS HCC categories, ensure compliance, and guide...Remote workRiskContract work
- ...Manager Risk Adjustment Program At BayCare, we are proud... ...Location: Tampa, FL (Remote - Must Reside in the State... ...documentation and HCC (Hierarchical Condition... ...Category) and ICD-10 coding practices. As a subject... ...); Certified Coding Specialist (CCS); or Registered Health...Remote workRiskFull timeShift work
- Astrana Health is seeking a Risk Adjustment Coding Specialist to support physician practices remotely from CST/EST time zones. You will review records for HCCs, educate providers, and track KPIs like HCC recapture and AWVs, contributing to program success. Requirements...Remote jobRiskFull time
- Astrana Health is seeking a Risk Adjustment Coding Specialist II to support remote chart reviews, identify coding gaps, and deliver provider education. This role emphasizes interpreting HCC data, monitoring KPIs, and providing insights to improve accuracy across payer requirements...Remote jobRiskWork from homeHome office
- Position Title Professional Coding Specialist II Department Revenue Integrity Remote Eligibility Candidates must reside and work full-time in AR,... ...compliant query workflows. Working knowledge of risk adjustment concepts and HCC validation where applicable to supported...Remote workRiskFull timeWork at officeFlexible hours
- ...Description Director, Product Manager - Risk Adjustment (Remote) About the Role: ~Type: Full-Time,... ...capabilities supporting Medicare Advantage (CMS-HCC), ACA Marketplace (HHS-HCC), and... ...quality. ~Partnering with Clinical, Coding Operations, Engineering, Compliance,...Remote workRiskFull timeTemporary workFlexible hours
$70k - $85k
...Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey... ...ll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider...Remote workRiskFull timeWork at officeHome office$143.62k - $229.79k
...Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in... ...with ACA Risk Adjustment , including HHS-HCC model methodology, risk score... ...Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices...Remote workRiskLocal area- ...looking for experienced and motivated Risk Adjustment Clinical Documentation Specialist professionals to join our dedicated team in a fully remote capacity. As a Risk Adjustment... ...play a critical role in supporting coding accuracy, HCC capture, regulatory compliance, and...Remote workRisk
- ...requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate... ...performing detailed clinical documentation and risk adjustment reviews and accurately coding HCC diagnoses using ICD-10-CM guidelines. CPT and E/M experience...Remote workRiskFull timeWork at officeWork from homeMonday to Friday
$95.4k - $208.3k
...Clinical Documentation Integrity Specialist for Medicare Advantage Risk Adjustment. This role involves conducting medical... ...and coders, ensuring accurate coding and documentation. Ideal candidates... ...with proficiency in ICD-10 and CMS-HCC Risk Adjustment models. This full-...RiskFull time
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