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From Home Hcc Risk Adjustment Coder Jobs in Oregon

Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a ... Coder 1: 1-2 years' experience in medical risk adjustment / HCC coding. * Experience in HCC record ...

... surface high-impact suspects and coding opportunities. * Drive innovation leveraging ... Partner with Legal, Compliance, and Policy teams to interpret and operationalize updates from CMS ...

$75K - $105K/yr

... coding, and reporting team leads and will focus on the execution and delivery of the Cotiviti Risk ... Base compensation ranges from $75,000 to $105,000 per year. Specific offers are determined by ...

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From Home Hcc Risk Adjustment Coder information

What are From Home HCC Risk Adjustment Coders?

From Home HCC Risk Adjustment Coders are health information professionals who work remotely to review medical records and assign appropriate codes based on Hierarchical Condition Categories (HCC) for risk adjustment purposes. Their work ensures that healthcare providers receive accurate reimbursement from insurance companies, particularly Medicare Advantage plans. These coders must have a strong understanding of ICD-10-CM coding guidelines, clinical documentation, and risk adjustment models. Working from home allows for flexibility, but still requires strict attention to detail and adherence to privacy regulations.

Is HCC coding a good career?

HCC coding is a growing field within healthcare revenue cycle management, focusing on risk adjustment for insurance purposes. It requires attention to detail, knowledge of medical coding, and often involves remote work with certification in medical coding or risk adjustment. Many find it to be a stable and in-demand career option with opportunities for advancement.

What are some common challenges faced by From Home HCC Risk Adjustment Coders, and how can they be managed?

From Home HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and managing productivity without in-person supervision. To overcome these, coders should prioritize ongoing education, use reliable coding resources, and maintain clear communication with their remote team. Setting a structured daily routine and participating in virtual team check-ins can also help maintain focus and ensure consistent quality in code assignments.

How much does a certified risk adjustment coder make?

A certified risk adjustment coder typically earns between $50,000 and $80,000 annually, depending on experience, certification level, and geographic location. Experienced coders with advanced certifications and strong knowledge of coding and medical records can earn higher salaries, especially in healthcare settings with complex risk adjustment programs.

How much do risk adjustment coders make?

Risk adjustment coders typically earn between $50,000 and $75,000 annually, depending on experience, certifications, and location. In Texas, salaries generally align with this range, with some positions offering higher pay for specialized skills or remote work opportunities.

How much do HCC coders make in the US?

HCC (Hierarchical Condition Category) risk adjustment coders in the US typically earn between $50,000 and $80,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS and strong knowledge of medical coding and risk adjustment principles can earn higher salaries, especially in healthcare hubs or remote work environments.

What are the key skills and qualifications needed to thrive as a From Home HCC Risk Adjustment Coder, and why are they important?

To thrive as a From Home HCC Risk Adjustment Coder, you need a thorough understanding of ICD-10-CM coding, risk adjustment models, and medical terminology, usually backed by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Strong attention to detail, time management, and self-motivation are vital soft skills for ensuring accuracy and productivity while working independently. These skills are crucial for maintaining compliance, optimizing reimbursement, and ensuring data integrity in a remote environment.
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Oregon? The most popular types of Hcc Risk Adjustment Coder jobs in Oregon are:
What are popular job titles related to From Home Hcc Risk Adjustment Coder jobs in Oregon? For From Home Hcc Risk Adjustment Coder jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching From Home Hcc Risk Adjustment Coder jobs in Oregon look for? The top searched job categories for From Home Hcc Risk Adjustment Coder jobs in Oregon are:
Infographic showing various From Home Hcc Risk Adjustment Coder job openings in Oregon as of June 2026, with employment types broken down into 4% As Needed, 63% Full Time, and 33% Part Time. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution.
Coder 1/HCC Risk Adjustment

Coder 1/HCC Risk Adjustment

Cotiviti

Remote

$23 - $26.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

47th of 230 rated it services


Job description

Overview

The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid riskadjustment programs across a variety of chart types. This role applies ICD10CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/clientspecific requirements to ensure highquality coding outcomes. The Coder I utilizes established disputeresolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities.

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions.

See what it's like to work as a Coder at Cotiviti:https://www.youtube.com/watch?v=-VgcV09cxCo

Responsibilities
  • Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types.to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment program initiatives.
  • Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
  • Professionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process.
  • Complete all responsibilities as outlined in the annual performance review and/or goal setting
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation. 

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications

Education: Minimum High School Diploma.

Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).

Experience

  • Coder 1: 1-2 years' experience in medical risk adjustment / HCC coding.
  • Experience in HCC record abstraction and coding requirements.
  • Demonstrated high level of quality accuracy and productivity in clinical coding work.
  • Maintains professional credential in good standing as required by AAPC and/or AHIMA. 
  • Experience in HCC record abstraction and coding requirements.
  • Demonstrated high level of quality accuracy and productivity in clinical coding work.
  • Adherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.
  • Strong knowledge of medical terminology and anatomy and physiology.
  • Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.
  • Skills in organization and time management.
  • Ability to read and understand medical record documentation for diagnosis extraction.
  • Comfortable with computers and technology.
  • Must abide by all HIPAA and associated patient confidentiality requirements.
  • Required hours for training: Monday-Friday 8 AM - 5 PM ET
  • Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule based on your time zone. This role is not intended to work nights, weekends or part-time.

Mental Requirements:

  • Excellent written and communication skills with the ability to understand and explain complex information.
  • Ability to regularly and consistently achieve over 95% quality accuracy.
  • Ability to appropriately communicate with management regarding workload, production expectations and deliverables.
  • Quick learner with positive attitude.
  • Must be able to work in a fast-paced environment.
  • Ability to manage and meet deadlines.
  • Adaptability to changing priorities, flexible and open to new ideas.

Physical Requirements and Working Conditions:

  • Must participate in all required training.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers.

Base compensation ranges from $23.00 to $26.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. 

Date of posting: 7/22/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 8/25/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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Employment Type: OTHER

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