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Freelance Hcc Risk Adjustment Coder Jobs in New York

Healthfirst (New York)

Hybrid Coding Educator

New York, NY

$29.75 - $34/hr

Responsible for auditing clinical documentation encounters to validate Risk Adjustment and HCCs Responsible for managing and responding to provider inquiries via the coding hotline as well. * Trains ...

Oscar Health

Senior Data Scientist

New York, NY · Hybrid

$163K - $215K/yr

The Risk Adjustment Data Science team turns that data into the models, pipelines, and systems that ... code review, and testing Bonus points: * Advanced degree in a quantitative or technical field

Oscar Health

Senior Data Scientist

New York, NY · On-site

$163K - $215K/yr

The Risk Adjustment Data Science team turns that data into the models, pipelines, and systems that ... code review, and testing Bonus points: * Advanced degree in a quantitative or technical field

Oscar Health

Senior Data Scientist

New York, NY · Hybrid

$163K - $215K/yr

The Risk Adjustment Data Science team turns that data into the models, pipelines, and systems that ... code review, and testing Bonus points: * Advanced degree in a quantitative or technical field

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Freelance Hcc Risk Adjustment Coder information

What is a freelance HCC risk adjustment coder?

A Freelance HCC Risk Adjustment Coder is a healthcare professional who works independently to review medical records and assign appropriate ICD-10 codes based on Hierarchical Condition Categories (HCC). Their work supports accurate risk adjustment for insurance plans, particularly Medicare Advantage, by ensuring that patient diagnoses are properly documented and coded. This helps health plans receive correct reimbursement for the care of high-risk patients. Freelance coders have the flexibility to work with multiple clients and often work remotely.

What are the key skills and qualifications needed to thrive as a freelance HCC risk adjustment coder?

To thrive as a Freelance HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM classification, and risk adjustment models, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with Electronic Health Record (EHR) systems, coding software, and payer-specific risk adjustment platforms is essential. Attention to detail, time management, and strong analytical and communication skills help you accurately review records and collaborate with healthcare providers. These skills ensure precise coding, optimize reimbursement, and maintain compliance in a remote, deadline-driven environment.

How does a freelance HCC risk adjustment coder typically collaborate with healthcare providers and coding teams remotely?

As a Freelance HCC Risk Adjustment Coder, you will often work independently but maintain regular communication with healthcare providers, auditors, and coding managers through secure online platforms, emails, or virtual meetings. You may be responsible for clarifying documentation, discussing complex coding scenarios, and providing feedback to providers to ensure accurate risk adjustment coding. Effective collaboration and clear communication are essential to resolve discrepancies and maintain compliance with regulatory standards. Most clients provide access to their electronic health record (EHR) systems and expect timely deliverables, so strong organizational and time management skills are important.

What is the difference between Freelance Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectFreelance Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsCertifications in medical coding, HCC coding experienceCertifications in medical coding, HCC coding experience
Work EnvironmentRemote, independent contractingTypically employed by healthcare organizations or coding companies
Employer & Industry UsageFreelance platforms, independent practiceHospitals, insurance companies, healthcare providers
Search & Comparison IntentLooking for freelance opportunities or contract workSeeking full-time or staff coding roles

Both roles require similar certifications and skills in HCC coding. The main difference is that a Freelance Hcc Risk Adjustment Coder works independently on a contract basis, often remotely, while an Hcc Risk Adjustment Coder is typically employed full-time by healthcare organizations. Your choice depends on your preferred work environment and employment type.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in New York?

The most popular types of Hcc Risk Adjustment Coder jobs in New York are:

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For Freelance Hcc Risk Adjustment Coder jobs in New York, the most frequently searched job titles are:

What job categories do people searching Freelance Hcc Risk Adjustment Coder jobs in New York look for?

The top searched job categories for Freelance Hcc Risk Adjustment Coder jobs in New York are:

What cities in New York are hiring for Freelance Hcc Risk Adjustment Coder jobs?

Cities in New York with the most Freelance Hcc Risk Adjustment Coder job openings:

Freelance Hcc Risk Adjustment Coder jobs near you
Infographic showing various Freelance Hcc Risk Adjustment Coder job openings in New York as of July 2026, with employment types broken down into 84% Full Time, 7% Part Time, and 9% Contract. Highlights an 33% In-person, and 67% Remote job distribution.

Director of Coding Compliance

Essen Medical Associates

Bronx, NY • On-site

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Essen Health Care rating

4.6

Company rating: 4.6 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Overview

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents.

Founded in 1999, we've grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women's health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We're looking for talented, motivated individuals to join our growing team. Whether you're a medical provider, administrator, or operations professional, there's a career here for you. Join us in making a real difference in the health of our community.

Job Summary

Position Title: Director of CodingCompliance

Position Summary: The Director of Coding Compliance is responsible for leading coding compliance and audit activities related to health plan operations, risk adjustment, payer audits and regulatory requirements. This role ensures accurate medical coding, documentation integrity, and adherence to federal, state, and payer-specific guidelines. The ideal candidate will possess advanced CPC coding expertise, strong analytical skills, and extensive experience supporting compliance initiatives within a managed care or health plan environment.

Responsibilities

Key Responsibilities

  • Conduct complex coding audits and documentation reviews for accuracy, completeness, and regulatory compliance.
  • Review ICD-10-CM, CPT, HCPCS, and risk adjustment coding to ensure alignment with CMS and payer guidelines.
  • Identify coding trends, compliance risks, and opportunities for operational improvement.
  • Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives.
  • Develop and deliver provider and staff education related to coding accuracy and compliance standards.
  • Monitor regulatory changes and communicate impacts to leadership and operational teams.
  • Assist with internal and external audit preparation, corrective action plans, and regulatory responses.
  • Support oversight activities related to FWA (Fraud, Waste, and Abuse) prevention and documentation integrity.
  • Analyze audit findings and prepare detailed reports, dashboards, and executive summaries.
  • Serve as a subject matter expert for coding compliance and regulatory requirements.
Qualifications

Required Qualifications

  • Certified Professional Coder (CPC) certification required.
  • Minimum 7-10 years of medical coding and compliance auditing experience.
  • Minimum 5 years of experience within a health plan, managed care organization, or payer environment.
  • Strong knowledge of CMS regulations, Medicare Advantage, NYS Medicaid, HEDIS, and risk adjustment methodologies.
  • Extensive experience with ICD-10-CM, CPT, and HCPCS coding systems.
  • Knowledge of healthcare compliance standards and regulatory requirements.
  • Experience conducting coding audits and developing corrective action plans.
  • Strong analytical, communication, and leadership skills.
  • Proficiency with coding and audit software applications and Microsoft Office Suite.

 

Preferred Qualifications

  • CRC, CPMA, CCS, or other advanced coding/audit certification preferred.
  • Experience supporting delegated vendor oversight and regulatory audits.
  • Knowledge of NCQA standards and healthcare quality programs.
  • Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field preferred.

 

Core Competencies

  • Regulatory Compliance
  • Risk Assessment
  • Medical Coding Expertise
  • Audit & Monitoring
  • Provider Education
  • Cross-Functional Collaboration
  • Strategic Problem Solving
  • Data Analysis & Reporting

 

Work Environment

  • Onsite - Bronx, New York Office Monday - Friday
Equal Opportunity EmployerEssen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse populationEmployment Type: FULL_TIME

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