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
- ...Virtix Health LLC is seeking a Risk Adjustment Coding Specialist to join its HCC Coding Team. The successful candidate will review medical records and abstract... ...ICD-10 codes according to Medicare guidelines. This remote role requires experience in coding, attention to...Remote workRisk
- ...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... ...from AAPC or AHIMA. Strong experience in CMS HCC Risk Adjustment Models is essential, along with advanced...Remote workRiskFull time
$24.12 per hour
...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 workRiskFor contractorsWork at officeLocal areaFlexible hours- ...Certified Coding Specialist I At UPMC Health Plan, we're looking for a... ...Specialist I to join our Medicare HCC team. If you enjoy digging... .... This is a full-time, remote role working either 6:00 AM... ...in ICD-10-CM, CPT, and HCC risk adjustment coding to ensure proper classification...Remote workRiskFull timeWork at office
$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 jobRiskFull timeWeekend workAfternoon shift$70k - $85k
Astrana Health, Inc. is seeking a Risk Adjustment Coding Specialist II to work remotely. The position involves reviewing provider documentation, performing coding audits, and educating providers on coding requirements. Applicants should have 3-5 years of experience in risk...Remote jobRisk- Payment Specialist, Credits and Adjustments Location: Westerville, OH, United States Schedule... ...Position is eligible for remote/onsite hybrid work... ...regarding medical billing and coding procedures, insurance... ...enumerated in compliance and risk management programs. Education...Remote workRiskDaily paidFull timeLive inShift workDay shift
$85k - $200k
...disputes seeks a Sr. Associate to utilize their expertise in coding, revenue cycle, and clinical operations. Responsibilities include... ...with regulations. Candidates should be certified in Risk Adjustment Coding (CRC) with strong analytical and communication skills....Remote workRisk- American Health Partners in Franklin, Tennessee is seeking a Medicare Risk Adjustment Coding Specialist responsible for conducting coding audits and performing post-payment coding reviews. The role requires extensive experience in claims processing and knowledge of CMS...Remote jobRisk
- A leading healthcare company is seeking a Risk Adjustment Coding Specialist in Maryland. This full-time position requires a Certified Professional Coder... .... The role follows a hybrid work structure with both remote and onsite responsibilities. A strong command of Excel and...Remote workRiskFull time
- Orthopedic Professional Coding Specialist II - Revenue Integrity Position Title: Orthopedic... ...to learn and grow. 100% remote. Flexible shifts once training is complete... ...query workflows. Working knowledge of risk adjustment concepts and HCC validation where applicable to...Remote workRiskFull timeWork from homeFlexible hours
- ...Neuro Interventional Radiology Professional Coding Specialist II Department: Revenue Integrity Remote: 100% remote, work from home, eligible only... ...compliant query workflows. Working knowledge of risk adjustment concepts and HCC validation where applicable. Qualifications...Remote workRiskWork at office
- BHMG Ambulatory CDI Specialist page is loaded## BHMG Ambulatory... ...our team! This is a remote work position that... ...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 workRiskWork experience placementWork at officeFlexible hours
- Professional Coding Specialist II Remote work eligible for candidates residing in AR, KS, MO, OK, or TX. Work full‑time remotely or... ...compliant query workflows. Maintain working knowledge of risk adjustment concepts and HCC validation where applicable to supported populations...Remote workRiskFull time
$27 per hour
...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...Remote workRiskContract work- 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
$110 per hour
...As a Risk-Adjustment and HCC Coding Leader, you will play a pivotal role in enhancing the accuracy and completeness of risk scores in Medicare Advantage... ...to actuarial or executive teams. Work Terms This is a remote position with an hourly employment type. Compensation...Remote workRiskHourly pay$28.86 per hour
...DATE: June 4, 2026 POSITION: Risk Adjustment Compliance Coder DEPARTMENT:... ...accuracy, quality, and integrity of coding data that supports Medicare... ...of ICD-10 coding on the CMS HCC risk adjustment model, and... ...with extraction of charts via remote EMR access or faxed medical...Remote workRiskHourly payWork at officeHome office3 days per week- ...Proficient in ICD-10-CM Risk Adjustment coding, the full-time Remote Risk Adjustment Coder will review clinical documentation and accurately apply diagnosis... ...Diploma or equivalent 3+ years of experience in HCC Risk Adjustment Coding CPC or CRC certification from AAPC...Remote workRiskFull time
$70k - $85k
...currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Maryland market. In this... ...on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs... ...Hybrid work structure: predominantly remote with quarterly travel to Maryland provider...Remote workRiskFull timeWork at officeMonday to Friday- ...Working remotely in a full-time capacity, the HCC Certified Coder will abstract clinical information, assign diagnosis and procedure codes according to coding guidelines, and perform medical... ...maintain compliance with CMS Risk Adjustment guidelines Perform quality audits...Remote workRiskFull timeWork at office
$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$26 - $27 per hour
...Global We are looking for a full-time REMOTE HCC/Risk Adjustment Medical Coder for a contract up to 12... ...as 3+ years of HCC/risk adjustment coding experience. ****The pay rate is $25-2... .... Other Opportunities: Remote Coding Specialists, Outpatient Surgery and Observations...Remote workRiskHourly payFull timeContract workRelief$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 Experience... ...Skills Risk adjustment coding. HCC coding. Medical record review...Remote jobRiskTemporary workWork experience placement- Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Puerto Rico (Option to be Florida Based) Option to either live in Puerto... ...MS Excel. Evidence of completion of formal course in coding principles or equivalent program that includes knowledge of...RiskFull timeLive inWork at office
- ...providers, the full-time Outpatient CDI Specialist will review medical records to... ...while ensuring compliance with coding and billing regulations in a remote setting. Key responsibilities:... ...experience in outpatient coding, risk adjustment, and outpatient CDI Strong understanding...Remote workRiskFull time
$102k - $115k
...Department: Quality - Risk Adjustment Description Astrana Health... ...chart retrieval, HCC risk adjustment data &... ...ensure all diagnosed codes and conditions are properly... ...of the coding and specialists’ team, retrospective and... ...Conditions This is a remote position. Travel to...Remote workRiskWork at office- ...Clinical Documentation Integrity (CDI) Specialist to ensure diagnostic coding accuracy and compliance in primary... .... This position is mostly remote, but may require travel across various... ...and certifications and have experience in risk adjustment coding. #J-18808-Ljbffr...Remote workRisk
- ...and coordinating care with specialists and community resources. A key... ...documentation to support risk adjustment coding and HEDIS quality gap closure... ...of risk adjustment coding (HCC/RAF) and HEDIS measures. Proficiency... .... What We Offer A fully remote position. Malpractice...Remote jobRiskFull timePart timeRelief
$85k - $200k
...experience and knowledge related in coding, revenue cycle and clinical... ...development in a variety of risk adjustment related areas.... ...recent years of experience in HCC/Risk Adjustment and/or RADV Audit... ...skills, ability to work in a remote environment, and time management...Remote workRisk
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote HCC Coding Specialist (Risk Adjustment). Be the first to apply!
- live chat specialist New York, NY
- mental health specialist New York, NY
- cash reconciliation specialist New York, NY
- instructional technology specialist New York, NY
- channel specialist New York, NY
- privacy specialist New York, NY
- assessment specialist New York, NY
- asset protection specialist New York, NY
- sourcing specialist New York, NY
- program specialist New York, NY

