Remote HCC & ProFee Coder - Risk Adjustment Pro
Dahl Consulting
Location: Sacramento, California, United StatesCompany: Dahl 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 quality initiatives.You'll work with healthcare providers, adhere to HIPAA/PHI regulations, and maintain a minimum coding accuracy rate of 96% while onboarding and during audits.#J-18808-Ljbffr
$30 per hour
...Title : HCC & ProFee Coder Location : Remote Job Type : Contract to Hire Compensation : $30.00 per hour (W2) Industry: Hospital &... ...value-based care initiatives through advanced coding, risk adjustment, and documentation review services. We are seeking an...Remote workRiskHourly payFull timeContract work$25 - $26.7 per hour
...Fidelity Real-World Data. Read more Need help with record requests? Datavant Connect Login Back to Jobs HCC Risk Adjustment Coder 8250 Remote - United States Full-time regular Datavant is the data collaboration platform trusted for healthcare. Guided by...Remote workRiskFull timeFixed term contractWork at officeLocal areaFlexible hours- ...Insight Global is seeking Medical Coders specializing in Risk Adjustment Coding for a leading healthcare client. These professionals will review medical... ...-10-CM diagnosis codes that support risk adjustment and HCC reporting. Ideal candidates will have strong...Remote workRisk
- 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
$20.5 - $27.85 per hour
...- $27.85/ hour This is a remote position. Incumbents, who reside... ...M) and as needed Diagnostic, HCC, Retrospective Coding,... ...CPC (Certified Professional Coder) Preferred or COC (Certified... ...Requirements CRC (Certified Risk Adjustment Coder) required -or- CIC (Certified...Remote workRiskCasual work- ...Risk Adjustment Coding Analyst Senior HealthPartners is hiring a Risk Adjustment Coding Analyst Senior. This position is responsible... ...required: RHIA, RHIT, CPC, CCS, CCS-P Certified Risk Adjustment Coder (CRC) credential Minimum of five years experience with...Remote jobRisk
$25 - $26.7 per hour
...transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records... ...of patient conditions for risk adjustment and reimbursement purposes. You... ...communication skills, ability to work in a remote environment, and time management...Remote workRiskFlexible hours- ...a meticulous and detail-oriented Medical Coder specializing in professional services, particularly... ...and communicate potential compliance risks or areas for improvement in coding... ...focused on growth and success This is a remote position. **Applicants must be legally authorized...Remote workRiskWork at officeWork visa
- ...the Role As a Medical Coder, you will be... ...ICD-10, HCPCS, and CMS risk adjustment guidelines. Maintain... ...working independently in a remote setting while staying connected... ...: Minimum 3 years of Pro-Fee coding experience.... ...understanding of HCC / risk adjustment coding...Remote workRiskFull timeTemporary workWork at officeFlexible hours
- ...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...Remote workRiskWeekly payPermanent employmentFull timeDay shift- ...HCC Coding Quality Educator Location: Madisonville... ...Category: Clerical Remote: Office/Remote Hybrid... ...of severity of illness, risk of mortality, acuity,... ...support the facilities Risk Adjustment strategy. The HCQE... ...II and III, APC, APG, pro modifiers, revenue codes...Remote workRiskWork at office
- ...Humana Inc is seeking a Risk Adjustment Coding Analyst to provide operational, analytical, and administrative support to business leaders... ...confidentiality in a healthcare setting. The position offers a remote work setup with occasional travel, 40 weekly hours, and a...Remote workRisk
$23 - $28 per hour
...Required Skills & Experience • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding... ...experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician...Remote workRiskHourly pay- ...full lifecycle, strategy, and cross-functional execution for risk adjustment retrieval and interoperability, guiding teams to deliver measurable... ...improvements for payers and providers. The role supports remote work from anywhere in the U.S., with in-office requirements...Remote jobRiskWork at office
- ...Humana Inc. is seeking a Director of Risk Adjustment Regulatory Audits to lead strategy and execution of external audits, ensuring strong... ...the Associate VP, Risk Adjustment Compliance and works in a remote capacity with occasional travel to Humana offices. You will drive...Remote jobRisk
- ...Astrana Health seeks a Sr. Director of Risk Adjustment to lead risk adjustment, clinical documentation improvement, provider engagement,... ...compliance, revenue integrity, and performance across markets. Remote work with travel in the US is required. #J-18808-Ljbffr Jobleads...Remote workRisk
$87.7k - $157.8k
...responsible for facilitation and leading external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit... ...: Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. Serves...Remote workRiskFull timePart timeWork at officeWork from homeFlexible hours$31.03 - $36.03 per hour
...required in addition to the required work experience. ~3 years of risk adjustment and/or hierarchical condition category coding experience. ~... ...stakeholders. Skills Risk adjustment coding. HCC coding. Medical record review. Diagnosis code validation...Remote workRiskTemporary workWork experience placement- Job Description: Summary The Supervisor, Risk Adjustment Quality Assurance and Auditing, is... ...CM and Hierarchical Condition Category (HCC) coding experience required and experience... ...Please note: There may be opportunity for remote work within all jobs posted by the Excellus...Remote workRiskContract workWork from homeHome office
- ...Inpatient Hospital Coder Nemours is seeking an Inpatient Hospital Coder in Orlando... ...capture diagnoses. # Analyzes high-risk encounters for accurate charge capture... ...conditions, hierarchical condition categories (HCC) and risk adjustment factors (RAF). # Ability to code for...Remote workRiskWork at office
$27 per hour
...HCC Medical Coder Location: Fully Remote Positions Available: Up to 200 Employment Type: Contract (2 months) Pay Rate: $27/hour Schedule: Full-time... ...review medical charts, assign accurate ICD-10 codes for risk adjustment, and ensure compliance with coding standards....Remote workRiskFull timeContract workMonday to Friday$143.62k - $229.79k
...Consulting Actuary -ACA Risk Adjustment As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide... ...Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial impact...Remote workRisk$118.6k - $157.14k
...experience!Reporting to the Director of Risk Adjustment Prospective Programs, the Manager of Risk... ...records for unconfirmed or un-vouched HCC codes, protecting the health plan from regulatory... ...work schedule. (Monday & Friday - remote, Tuesday - Thursday onsite in Rancho...Remote workRiskTemporary workWork experience placementLocal areaMonday to Friday- ...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...Remote workRisk
$50k - $54k
...Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver...RiskWork from homeMonday to FridayWeekend work$45k - $55k
...Medical Coder Hot Job Fully Remote • Windsor Mill, MD 21224 Overview Salary Range $45,000.00... ...experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately... ...Adjustment Data Validation or CMS-HCC audits preferred Experience in...Remote workRiskFull timeContract workFor contractorsInternshipLive inWork at office- ...indicator assignment and sequencing of risk adjustment diagnoses following established guidelines... ...above, successful completion of the IP Coder Associate program or coder associate may... ...Abilities Participates in on site, remote and/or external training workshops and...Remote workRiskShift work
- ...Highmark Health is seeking a skilled HCC coder to support Medicare Advantage, ACA, and ESRD projects. You will translate physician... ..., quality, compliance, and leadership to ensure accurate risk adjustment coding. Remote office-based with 0–25% travel, requiring CPC/CRC/CCS/...Remote workRiskWork at office
- ...healthcare clients throughout the US. We are currently hiring a Risk Adjustment Coder Summary One of our New York-based health plan partners is... ...Excel skills. Medical Coder certification is a plus. QNXT is nice to have but not required. Location: Remote #J-18808-Ljbffr...Remote workRiskCurrently hiring
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