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Medical Coding Hcc Episource Jobs (NOW HIRING)

Pathways Health Partners

HCC Risk Coder

Leesburg, FL · On-site

$16.75 - $22.25/hr

This position requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data. Position ...

Regal Medical Group

SR. HCC Coder

West Hills, CA · On-site

$30 - $33/hr

Requires knowledge in HCC Coding documentation guidelines. * Requires technical expertise in ICD-9-CM or ICD-10-CM. * Strong skills in medical record audit and review. * Regulatory requirements for ...

MyMichigan Health

HCC Coder

Midland, MI · On-site

$16 - $21.50/hr

The HCC Coder, working under the direction of the Clinical Documentation Integrity Manager ... Four (4) years' experience in the medical field preferred. Two (2) years physician coding and ...

PCC MEDICAL HOLDINGS LLC

Remote Medical Coder

Miami, FL · On-site

$21 - $26/hr

... compliant coding that supports revenue integrity and risk adjustment performance. Under the ... Ensure complete and compliant documentation and precise HCC capture. * Query providers to clarify ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

... medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. What ...

Rendr

Senior Coding Manager

New York, NY · On-site

$120K - $150K/yr

Medical, Dental, and Vision Insurance * 401k with Company Match * Paid Time Off * Paid Holidays ... The Senior Coding Manager is responsible for overseeing all coding functions--including HCC, CPT ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

... medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. What ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

... medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. What ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

... medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy. What ...

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How much do medical coding hcc episource jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for medical coding hcc episource in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medical Coding HCC specialist at Episource, and why are they important?

To thrive as a Medical Coding HCC specialist at Episource, you need a strong understanding of ICD-10-CM coding, risk adjustment, and healthcare regulations, often demonstrated by a relevant certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and Episource-specific platforms is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for ensuring accurate code assignment and collaborating with clinical teams. These skills are essential to maximize coding accuracy, ensure compliance, and support proper reimbursement in value-based care environments.

What is the difference between Medical Coding Hcc Episource vs Medical Coding Specialist?

AspectMedical Coding Hcc EpisourceMedical Coding Specialist
CertificationsAHIMA or AAPC certifications, HCC coding trainingAHIMA or AAPC certifications, general coding credentials
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, physician offices, remote work possible
Industry UsageFocus on risk adjustment, HCC coding for Medicare AdvantageGeneral medical coding across various specialties

Medical Coding Hcc Episource specializes in risk adjustment coding, particularly HCC coding for Medicare Advantage plans, often requiring specific training. Medical Coding Specialist roles cover broader medical coding tasks across multiple healthcare settings. While both roles require coding certifications, Hcc Episource focuses on risk adjustment, making it more specialized compared to the general scope of Medical Coding Specialists.

What are Medical Coding HCC roles at Episource?

Medical Coding HCC (Hierarchical Condition Category) roles at Episource involve reviewing patient medical records to accurately assign diagnosis codes according to HCC guidelines. Coders play a crucial part in ensuring proper risk adjustment and compliance with healthcare regulations, which helps determine reimbursement rates for healthcare providers. These professionals must have a deep understanding of ICD-10-CM coding, medical terminology, and HCC risk adjustment models. At Episource, coders may work remotely or on-site, collaborating with other clinical and operational teams to maintain high standards of data accuracy and integrity.

What are some common challenges faced by Medical Coding HCC professionals at Episource and how can they be addressed?

Medical Coding HCC professionals at Episource often encounter challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and ensuring accuracy in risk adjustment documentation. To address these, it's important to engage in ongoing training, utilize company-provided resources, and collaborate closely with quality assurance teams. Regular communication with providers and other coders also helps clarify ambiguities and maintain coding accuracy, contributing to both personal development and overall team success.
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Medical Coding Hcc Episource jobs near you
Medical Coding Analyst

Medical Coding Analyst

HealthCare Partners, MSO

Garden City, NY

$65K - $75K/yr

Full-time

Posted 5 days ago

Job description

HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since 1996, HealthCare Partners (HCP) is the largest physician-owned and led IPA in the Northeast, serving the five boroughs and Long Island. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 200+ skilled professionals dedicated to ensuring members have access to the highest quality of care while efficiently utilizing healthcare resources.
HCP’s vision is to be recognized by members, providers and payers as the organization that delivers unsurpassed excellence in healthcare to the people of New York and their communities. We pride ourselves on selecting the most qualified candidates who reflect HCP’s mission of serving our members by facilitating the delivery of quality care.  Interested in joining our successful Garden City Team?  We are currently seeking a Coding Analyst!
Position Summary: The Coding Analyst will provide Risk Adjustment/HCC coding and auditing services that include the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated alphanumerical codes. The Medical Coder will summarize audit results and provide feedback and education to the field team and providers regarding documentation needs and requirements. 
Essential Position Functions/Responsibilities:
  • Review and interpret medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10 CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation.
  • Verify and ensure the accuracy and completeness of medical records while extracting appropriate and specific ICD-10 CM- CPT and Category II codes.
  • Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations.
  • Review coding patterns/trends and provides ongoing consultation to the field Quality/ Network Relations team regarding coding and documentation issues.
  • Proactively identifies and communicates problems and opportunities; actively recommends and implements solutions or medical coding process improvements.
  • Interpret coding rules and general policies in addition to determining appropriate conclusions.
  • Determine valid encounters including legibility and valid signature requirements.
  • Provide information or respond to questions from medical coding quality audits.
  • Possess and maintain a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA.
  • Responsible for consistently meeting established quality and productivity standards.
  • Other duties relating to coding projects as assigned.

Qualification Requirements:
Skills, Knowledge, Abilities
  • Experience working in medical coding/auditing with experience in Diagnosis coding
  • Knowledge of medical terminology including anatomy and physiology...
  • HCC and risk adjustment model experience strongly preferred
  • Strong background in ICD 10 Coding
  • Knowledge and understanding of CPT and CPT II (HCSPCS) codes
  • Intermediate level of experience with Microsoft Excel (Pivot table, building chart)
  • Strong written and verbal communication and organizational skills
  • Must present active AAPC or AHIMA membership ID #
  • Proficient with Excel and MS office products
  • Demonstrates the ability to perform in a high productivity fast-paced environment.
  • Knowledge of ICD-10 CM Guidelines and CMS Risk Adjustment Guidelines
  • Knowledge of Risk Adjustment Coding

Training/Education:
  • High school diploma or general educational degree (GED), required
  • Associate or Bachelor degree in health care discipline, preferred
  • Medical coding Credentials through either AAPC or AHIMA (CCS, CCS-P, or CPC) maintained annually, required.
  • CRC or CPMA credentials, preferred
  • Proficient in navigating an electronic medical record and healthcare billing system

Experience:
  • 3+ years’ of inpatient facility coding experience with both quality and productivity requirements
  • 3+ years’ of outpatient facility coding Auditing experience is preferred
  • 1+ year of inpatient and/or outpatient facility coding experience
  • 1+ year of auditing experience preferred 
  • Knowledge of Risk Adjustment coding
  • 1 year of healthcare provider education experience

Base Compensation: $65,000 - $75,000 annual
HealthCare Partners, MSO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, HealthCare Partners, MSO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
The above position information is intended to describe the general nature and level of work being performed by the job incumbent(s) and is not to be considered an all-encompassing description of all responsibilities, duties, and skills required.
 

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