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Contractual Remote Hcc Coder Jobs in Michigan (NOW HIRING)

Motorola

Responsible for delivering the contractual scope, on schedule and within budget, while maintaining ... Review and validate radio code plugs to ensure they are correctly configured for smart applications ...

Hooker DeJong

Project Manager

Muskegon, MI · On-site +1

... a remote location. This position has full responsibility for managing all aspects of projects ... Actively manages client budget, project schedule, contractual scope, project communications ...

Deloitte

Accounts Receivable Analyst

Midland, MI · Remote

$20.50 - $26.25/hr

Review payments, contractual adjustments, denials, and patient responsibility balances to validate ... This compensation range is specific to the remote role and takes into account the wide range of ...

Deloitte

Accounts Receivable Analyst

Grand Rapids, MI · Remote

$23 - $29.25/hr

Review payments, contractual adjustments, denials, and patient responsibility balances to validate ... This compensation range is specific to the remote role and takes into account the wide range of ...

Deloitte

Accounts Receivable Analyst

Detroit, MI · Remote

$23.75 - $30.25/hr

Review payments, contractual adjustments, denials, and patient responsibility balances to validate ... This compensation range is specific to the remote role and takes into account the wide range of ...

Deloitte

Accounts Receivable Analyst

Lansing, MI · Remote

$24.25 - $31/hr

Review payments, contractual adjustments, denials, and patient responsibility balances to validate ... This compensation range is specific to the remote role and takes into account the wide range of ...

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Contractual Remote Hcc Coder information

What is the difference between Contractual Remote Hcc Coder vs Medical Coder?

AspectContractual Remote Hcc Coder
CertificationsAHIMA or AAPC certifications, HCC coding credentials
Work EnvironmentRemote, contractual basis, independent contractor setup
Employer & Industry UsageHealth plans, insurance companies, healthcare providers
Job FocusRisk adjustment coding, Hierarchical Condition Categories (HCC)

Contractual Remote Hcc Coders specialize in risk adjustment coding for health plans, working remotely on a contractual basis. Medical Coders have a broader scope, including facility and outpatient coding across various healthcare settings. While both roles require coding certifications, Contractual Remote Hcc Coders focus on HCC-specific knowledge, making their work environment and employer types more specialized. Understanding these differences helps job seekers find roles aligned with their skills and career goals.

What are the most commonly searched types of Remote Hcc Coder jobs in Michigan? The most popular types of Remote Hcc Coder jobs in Michigan are:
What are popular job titles related to Contractual Remote Hcc Coder jobs in Michigan? For Contractual Remote Hcc Coder jobs in Michigan, the most frequently searched job titles are:
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What cities in Michigan are hiring for Contractual Remote Hcc Coder jobs? Cities in Michigan with the most Contractual Remote Hcc Coder job openings:
Contractual Remote Hcc Coder jobs near you
Infographic showing various Contractual Remote Hcc Coder job openings in Michigan as of July 2026, with employment types broken down into 100% Full Time. Highlights an 24% In-person, and 76% Remote job distribution.
Risk Adjustment Compliance Coder

Risk Adjustment Compliance Coder

Upper Peninsula Health Plan

Marquette, MI • Remote

$28.86/hr

Full-time

Posted 3 days ago

Job description

DATE: July 20, 2026POSITION:  Risk Adjustment Compliance CoderDEPARTMENT:  Finance-Risk AdjustmentRATE: $28.86 per hour, with potential for additional compensation based on qualifications. POSITION SUMMARY: 
The Risk Adjustment Compliance Coder is responsible for enhancing the accuracy, quality, and integrity of coding data that supports Medicare and Medicaid reimbursement. This role conducts risk adjustment coding audits, performs compliance research, responds to coding inquiries, and serves as a subject matter expert in risk adjustment coding and compliance. The position supports Medicare and Medicaid risk adjustment programs through the development, implementation, and ongoing evaluation of program initiatives. Highly collaborative and operational in nature, this role partners closely with providers and internal stakeholders and requires strong communication, education, and relationship-management skills. This is not a traditional production-focused coding position. 
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.
 
2. Collaborates with Risk Adjustment Analyst to develop, implement, and continually refine internal prospective and retrospective chart review programs and related risk adjustment initiatives.
 
3. Follows International Classification of Diseases (ICD)-10 guidelines for Coding and Reporting, Centers for Medicare & Medicaid Services (CMS) risk adjustment guidelines, and demonstrates knowledge of Current Procedural Terminology (CPT) coding. Understands the impact of ICD-10 coding on the CMS Hierarchical Condition Categories (HCC) risk adjustment model, and serves as the subject matter expert for risk adjustment activities.
 
4. Supports risk adjustment compliance and program integrity activities, including RADV preparedness, high-risk diagnosis review and validation, audit support, and identification and escalation of potential coding or documentation compliance concerns.
 
5. Assists with extraction of charts via remote Electronic Medical Record (EMR) access or faxed medical record request for risk adjustment initiatives.
 
6. Performs comprehensive medical record review, verifying and ensuring accuracy, completeness, specificity, and appropriateness of diagnoses codes in accordance with ICD-10 guidelines based on medical record documentation. Documents trends, observations, and potential coding or documentation improvement opportunities identified during the review process.
 
7. Maintains a comprehensive tracking and management tool to track all coding activities; generates and maintains accurate weekly, monthly, and quarterly reports of activities.
 
8. Assists with chart review encounter data submissions to CMS based on chart review findings.
 
9. Provides support during the annual retrospective chart review performed by an external party.
 
10. Identifies, develops, and delivers general and specific educational guidance to providers and clinic staff through webinars, newsletters, presentations, and other educational forums based on risk adjustment audit findings, CMS guidelines, regulatory requirements, and industry best practices.
 
11. Collaborates with internal departments, as appropriate, to carry out risk adjustment program activities to ensure integrity of diagnoses attributed to members submitted to the Michigan Department of Health and Human Services (MDHHS) and CMS by UPHP.
 
12. Collaborates with healthcare leaders, physicians, and provider office personnel to improve the accuracy and completeness of diagnosis code capture. Facilitates provider education, documentation clarification, and coding-related discussions in a professional, consultative manner to support risk adjustment and compliance objectives. 
 
13. Maintains confidentiality of client data.
 
14. Performs other related duties as assigned or requested.
POSITION QUALIFICATIONS:Education:Minimum:
High School Diploma
 Preferred:
Associate degree in business, health information processing, or related field 
 Certification:Minimum:
Must possess and maintain an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification—Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC)
 Preferred:
Certified Coding Specialist (CCS-P, CCS, CPC) and Certified Risk Adjustment Coder (CRC)
 
Experience:Minimum:
Two (2) years of experience in medical chart coding
 Preferred:
Five (5) years of experience in medical chart coding, including inpatient and outpatient settings; working knowledge of managed care and health plan standards on Risk Adjustment Coding
 
Other Qualifications:
Knowledge and understanding of medical terminology, disease process, and anatomy and physiology
Advanced knowledge and understanding of CPT coding across a wide variety of provider specialties
 Required Skills:
Excellent organizational abilities with attention to detail
Ability to effectively communicate with, and educate, clinic staff (provider, care managers, clinic quality leads, etc.)
Working knowledge of Microsoft Office (Word, Excel, Outlook)
Keyboarding proficiency
Research and analytical skills
 Preferred Skills:
Knowledge of MS PowerPoint
Oriented to managed care
 
The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.
 
Physical Requirements: 
[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:
 
Ability to enter and access information from a computer
Occasionally lifts supplies/equipment
Prolonged periods of sitting
Manual dexterity 
 
Working Conditions:
Position available onsite (in Marquette, Michigan), fully remote, or hybrid with a remote work option up to three (3) days per week 
Works in office conditions, but occasional travel is required
Exposure to situations requiring exceptional interpersonal skills or high productivity
Occasionally subjected to irregular hours
Subject to many interruptions
 Remote Work Requirements:
Remote candidates must reside in the state of Michigan
For fully remote team members, initial on-site/in-person onboarding and training for a minimum of ten (10) consecutive business days at UPHP’s headquarters in Marquette, Michigan (stipend provided) 
Periodic travel to UPHP’s headquarters for regular training including all staff meetings
Private home office required; computer and phone hardware provided
Personal vehicle required for periodic travel; mileage reimbursement provided at GSA rate
Employment Type: FULL_TIME

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