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From Home Hcc Risk Adjustment Coder Jobs in Atlanta, GA

Emory Healthcare

CDCE Data Analyst

Atlanta, GA · On-site

Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC ... Partner with CDI specialists, coders, and clinical teams to translate data insights into actionable ...

Emory Healthcare

CDCE Data Analyst

Atlanta, GA · On-site

Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC ... Partner with CDI specialists, coders, and clinical teams to translate data insights into actionable ...

Emory Healthcare

CDCE Data Analyst

Atlanta, GA

Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC ... Partner with CDI specialists, coders, and clinical teams to translate data insights into actionable ...

Emory Healthcare

CDCE Data Analyst

Atlanta, GA · On-site

$52.37 - $65.06/hr

Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC ... Partner with CDI specialists, coders, and clinical teams to translate data insights into actionable ...

Humana

Code Edit Disputes Medical Coder

Atlanta, GA · On-site

$18 - $24/hr

Remote, work at home. While this is a remote position, occasional travel to Humana's offices for ... AAPC CPC (no Apprentice) * Minimum of 3 years' experience as a Certified Medical Coder

New

Tokio Marine HCC

Underwriter

Kennesaw, GA · On-site

M. Best Company and benefits from the financial stability of its parent company, Tokio Marine HCC. Applying our Mind Over Risk philosophy to writing insurance allows our customers to take on ...

Tokio Marine HCC

Business Systems Analyst

Kennesaw, GA · On-site

Self-funding can incur risks from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine HCC is designed to protect employers from that risk. *This role is located onsite in Kennesaw ...

Scholastic

Fair Consultant - Work from Home

Buford, GA · On-site

$26/hr

This is a remote/home-based role that collaborates closely with cross-functional teams. These ... risk fairs Complete outbound and inbound customer outreach, follow-ups, and account management ...

Scholastic

Fair Consultant - Work from Home

Roswell, GA · On-site

$26/hr

This is a remote/home-based role that collaborates closely with cross-functional teams. These ... risk fairs Complete outbound and inbound customer outreach, follow-ups, and account management ...

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All JobsHcc Risk Adjustment Coder JobsFrom Home Hcc Risk Adjustment Coder JobsFrom Home Hcc Risk Adjustment Coder Jobs in Atlanta, GA

From Home Hcc Risk Adjustment Coder information

See Atlanta, GA salary details

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How much do from home hcc risk adjustment coder jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for from home hcc risk adjustment coder in Atlanta, GA is $26.44, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $33.27 per hour, depending on experience, location, and employer.

What is a from home HCC risk adjustment coder?

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.

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.

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

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.
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From Home Hcc Risk Adjustment Coder jobs near you

Program Lead, Payor Connections/Interoperability

Oscar Health

Atlanta, GA • Remote

$91K - $120K/yr

Other

PTO

This job post has expired today. Applications are no longer accepted.

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

251st of 304 rated insurance

Job description

Hi, we're Oscar. We're hiring a Program Lead, Payor Connections/Interoperability to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

As a Program Lead, Payor Connections/Interoperability, you will be a key owner of an important interoperability initiative, the Program Lead will represent the needs and interests of the Risk Adjustment team. This new role is for you if you thrive with ambiguity and autonomy, and are comfortable building an end-to-end process! You will work with internal and external Oscar partners to ensure accurate acquisition of healthcare data from multiple provider systems.

You will report into the Director, Risk Adjustment Retrospective.

Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $91,659 - $120,303 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Lead interoperability projects with provider outreach
  • Develop relationships with provider group partners and vendors
  • Create and maintain project plans
  • Help develop operational strategy and market approach
  • Collaborate across the organization to identify actions to achieve improvements and monitor initiative impact
  • Direct the testing and validation of data connections to ensure compliance and functionality
  • Oversee the creation and maintenance of essential operational dashboards, and update and enhance them as our user's needs evolve
  • Track development progress, resolve issues related to data quality or integration, and ensure continuous improvement in interoperability programs
  • TEFCA subject matter expert
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 3+ years of work experience in health care operations or health insurance; working directly with provider groups
  • 2+ years of experience in delivering interoperability projects / programs
  • In depth knowledge of TEFCA
  • Strong analytical skills

Bonus points:

  • Risk Adjustment experience
  • Basic SQL or BQ query writing experience

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