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Contractual Remote Hcc Coder Jobs in New York (NOW HIRING)

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs. * Evaluate AI-generated HCC coding assignments ...

Mercor

CDI Leader - Clinical Documentation

New York, NY · Remote

$84/hr

Remote Role Responsibilities * Lead clinical documentation integrity programs for inpatient and ... Collaborate with coding, compliance, and clinical teams. Address documentation gaps and improve ...

Mercor

CDI Leader - Clinical Documentation

New York, NY · Remote

$84/hr

Remote Role Responsibilities * Lead clinical documentation integrity programs for inpatient and ... Collaborate with coding, compliance, and clinical teams to address documentation gaps and improve ...

Oscar Health

Clinical Investigator

New York, NY · On-site +1

$67K - $89K/yr

... contractual obligations. Beyond individual claim accuracy, you will analyze provider behavior to ... This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois ...

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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.

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Contractual Remote Hcc Coder jobs near you

HCC Coding Leader - Risk Adjustment

New York, NY • Remote

Mercor
See more jobs at Mercorexternal

$110/hr

Full-time

Re-posted 27 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter 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 Medicare Advantage, Medicaid, and ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
  • Manage RADV audit preparation and response processes.
  • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.

Qualifications

Must-Have

  • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role.
  • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
  • Experience with RADV audit preparation and CMS compliance requirements.
  • Familiarity with RAPS and EDGE submission processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.

Preferred

  • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
  • Experience with risk adjustment analytics platforms and chart retrieval systems.
  • Background in health plan, Medicare Advantage organisation, or value-based care setting.
  • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
  • Experience presenting risk adjustment performance to actuarial or executive teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.