Certified HCC Coder

Working remotely on a full-time basis, the Certified HCC Coder will interpret clinical and diagnostic documentation to assign appropriate ICD-CM codes, support risk adjustment projects, and maintain coding accuracy in compliance with CMS requirements. Key responsibilities: Analyze medical records to determine appropriate ICD-CM codes based on official coding guidelines Collaborate with coding teams and other departments to ensure effective HCC coding Participate in coding audits and maintain a coding accuracy rate of at least 95% Required qualifications: High School diploma or equivalent Medical coding training and medical terminology from an accredited program Certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC) Three years of HCC and/or outpatient coding experience Thorough knowledge of ICD-CM coding and third-party payer requirements