Medical Coder CPC / CCS
$18 - $24.25/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
$18 - $24.25/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
$18 - $24.25/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic ...
The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure ... Stay current with updates to coding guidelines, risk adjustment models (e.g., CMS-HCC, HHS-HCC ...
The Risk Adjustment Coder is responsible for reviewing and abstracting medical records to ensure ... Stay current with updates to coding guidelines, risk adjustment models (e.g., CMS-HCC, HHS-HCC ...
Portsmouth, OH · On-site
Successful completion of the HIM Coder - Professional/HCC competency exam within 6 months of hire required * Successful completion of medical terminology course required * Successful completion of an ...
Portsmouth, OH · On-site
Successful completion of the HIM Coder - Professional/HCC competency exam within 6 months of hire required * Successful completion of medical terminology course required * Successful completion of an ...
Successful completion of the HIM Coder - Professional/HCC competency exam within 6 months of hire required * Successful completion of medical terminology course required * Successful completion of an ...
Successful completion of the HIM Coder - Professional/HCC competency exam within 6 months of hire required * Successful completion of medical terminology course required * Successful completion of an ...
Cincinnati, OH · On-site
$26.25 - $29.75/hr
... HCC education. Your expertise will directly strengthen data quality and elevate care across our ... PMI (Certified Medical Coder [CMC]) * AHIMA (Certified Coding Specialist-Physician [CCS-P]
Cincinnati, OH · On-site
$26.25 - $29.75/hr
... HCC education. Your expertise will directly strengthen data quality and elevate care across our ... PMI (Certified Medical Coder [CMC]) * AHIMA (Certified Coding Specialist-Physician [CCS-P]
... condition category (HCC) coding, operationalize SDOH, assign procedure codes (CPT-4), and ... Minimum 3 years of medical coding and/or revenue management experience required. Previous ...
... condition category (HCC) coding, operationalize SDOH, assign procedure codes (CPT-4), and ... Minimum 3 years of medical coding and/or revenue management experience required. Previous ...
Saint Marys, OH · Remote
$33 - $44.50/hr
Identify missing elements that impact code selection and medical necessity * Apply best practices ... Understand documentation requirements for HCC and risk adjustment coding * Support accurate ...
Quick apply
Saint Marys, OH · Remote
$33 - $44.50/hr
Identify missing elements that impact code selection and medical necessity * Apply best practices ... Understand documentation requirements for HCC and risk adjustment coding * Support accurate ...
Saint Marys, OH · On-site
$33 - $44.50/hr
Identify missing elements that impact code selection and medical necessity * Apply best practices ... Understand documentation requirements for HCC and risk adjustment coding * Support accurate ...
Saint Marys, OH · On-site
$33 - $44.50/hr
Identify missing elements that impact code selection and medical necessity * Apply best practices ... Understand documentation requirements for HCC and risk adjustment coding * Support accurate ...
Cleveland, OH · On-site
$96K/yr
ICD10-CM, CPT, HCC, and HCPCS inpatient or outpatient coding experience * ICU or Med/Surg experience * EPIC, 3M and Microsoft Office skills Physical Requirements: * Physical demands require standing ...
Cleveland, OH · On-site
$96K/yr
ICD10-CM, CPT, HCC, and HCPCS inpatient or outpatient coding experience * ICU or Med/Surg experience * EPIC, 3M and Microsoft Office skills Physical Requirements: * Physical demands require standing ...
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Columbus, OH · On-site
$19 - $26/hr
The Medical Billing Specialist ensures accurate coding, timely claim submission, and efficient ... Knowledge of risk adjustment (HCC), HEDIS-quality documentation, and prior auth workflows.
Dayton, OH · On-site
$120K - $140K/yr
... CME $5000 Continuing Medical Education stipend Tuition reimbursement Provided Health, Vision ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Dayton, OH · On-site
$120K - $140K/yr
... CME $5000 Continuing Medical Education stipend Tuition reimbursement Provided Health, Vision ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Dayton, OH · On-site
$120K - $140K/yr
Provided Medical Malpractice Insurance * Sign on: Flexibility Required Qualifications: * Master of ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Quick apply
Dayton, OH · On-site
$120K - $140K/yr
Provided Medical Malpractice Insurance * Sign on: Flexibility Required Qualifications: * Master of ... Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International ...
Cleveland, OH · Remote
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Cleveland, OH · Remote
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · Remote
$94K - $128K/yr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · Remote
$94K - $128K/yr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · On-site
$16.75 - $22.75/hr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · On-site
$16.75 - $22.75/hr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · On-site
$99K - $135K/yr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Columbus, OH · On-site
$99K - $135K/yr
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
Proficiency with electronic medical records. * Patient-centered, whole-person approach to care delivery Preferred * Experience with risk adjustment, HCC coding, and clinical documentation standards ...
$15.08 - $16.68
6% of jobs
$17.82 is the 25th percentile. Wages below this are outliers.
$16.68 - $18.28
26% of jobs
The median wage is $19.19 / hr.
$18.28 - $19.88
31% of jobs
$19.88 - $21.48
7% of jobs
$22.16 is the 75th percentile. Wages above this are outliers.
$21.48 - $23.08
11% of jobs
$23.08 - $24.68
6% of jobs
$24.68 - $26.28
5% of jobs
$26.28 - $27.88
3% of jobs
$27.88 - $29.48
2% of jobs
$29.48 - $31.08
1% of jobs
$31.08 - $32.68
1% of jobs
$15
$21
$32
| Aspect | Hcc Medical Coder | Medical Coder |
|---|---|---|
| Certifications | AHIMA or AAPC certifications, familiarity with HCC coding | CPMA, CPC, or CCS certifications, general coding knowledge |
| Work Environment | Healthcare facilities, insurance companies, risk adjustment teams | Hospitals, clinics, physician offices |
| Industry Usage | Primarily in risk adjustment, Medicare Advantage, and insurance billing | General medical billing and coding across various specialties |
The main difference between an Hcc Medical Coder and a Medical Coder lies in their focus areas. Hcc Medical Coders specialize in risk adjustment coding using Hierarchical Condition Categories, often working with insurance companies and Medicare Advantage plans. Medical Coders have a broader scope, handling various medical billing and coding tasks across healthcare settings. Both roles require certification, but Hcc Medical Coders need specific knowledge of HCC coding systems and risk adjustment processes.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Job Description/Day to Day Duties:
Job Summary
Directly responsible and accountable for performing chart reviews, physician education, and development of tools to ensure that our provider partners are compliant with Risk Adjustment. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to various provider partner locations
Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model.Â
Develop an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly.Â
Documents results/findings from chart reviews and provides feedback to management, providers, and office staff.Â
Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education.Â
Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic segmentations). Extract information necessary to identify where there are low performing physicians; follow up with plan for education and training. Continue to audit to ensure training is implemented.Â
Resolve and track escalated issues. Track any coding issues identified either at the provider level (including Molina sites) or vendor; manage any non-compliance situation or potential fraud or abuse.Â
Utilize discretion and autonomy to select provider for further training or audits; coordinate efforts with internal clients such as Coding Manager, RAMP Director, State Medicare Directors and Provider Services.Â
Determine coding quality as it relates to CMS standards; selects physicians or vendors that require an audit.Â
Minimum Education/Qualifications/Licensures:
Coding Certification - Active CCS, CCS-P, or CPC credentialing
Coding guidelines knowledge
Travel required (with mileage)
Claims experience
Employment Type: Contract 6 months. With possibility of going perm.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003