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Contractual Remote Hcc Coder Jobs in Tennessee (NOW HIRING)

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. ...

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Qualifications: • Active nursing license (RN or LPN) and/or certified coder certification through ...

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...

Accounts Receivable Analyst

Hermitage, TN · Remote

$21 - $26.75/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 ...

Accounts Receivable Analyst

Memphis, TN · Remote

$23.25 - $29.75/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 ...

Accounts Receivable Analyst

Nashville, TN · Remote

$23.25 - $29.50/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 Tennessee? The most popular types of Remote Hcc Coder jobs in Tennessee are:
What are popular job titles related to Contractual Remote Hcc Coder jobs in Tennessee? For Contractual Remote Hcc Coder jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Contractual Remote Hcc Coder jobs in Tennessee look for? The top searched job categories for Contractual Remote Hcc Coder jobs in Tennessee are:
What cities in Tennessee are hiring for Contractual Remote Hcc Coder jobs? Cities in Tennessee with the most Contractual Remote Hcc Coder job openings:
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 3 days ago


Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs

Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.


Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.

Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation

 

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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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