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Medical Coding Hcc Episource Jobs in Edison, NJ (NOW HIRING)

Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported ... Collaborate with clinical, coding, and compliance teams to improve documentation and coding for ...

Medical Assistant

New York, NY ยท Remote

$21 - $23/hr

Risk conditions (HCC) requiring MEAT documentation * Previous hospitalizations, ER visits, or ... Flag any missing elements or overdue items required for VBC coding and compliance. VBC Screening ...

Sr Risk Adjustment Coder

Newark, NJ ยท On-site

$44.13 - $57.36/hr

Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. * Evaluating medical records to verify that M.E.A.T criteria support the ...

Physician Educator III

Newark, NJ ยท On-site

$44.13 - $57.36/hr

Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. * Evaluating medical records to verify that documentation meets industry ...

Primary Care Physician

Morristown, NJ ยท On-site

$220K - $240K/yr

... accurate medical documentation and coding (E/M, HCC)Manage approximately 20-25 patients per dayProvide leadership to clinical and reception staffComplete chart sign-offs and adhere to company ...

Primary Care Physician

Morristown, NJ ยท On-site

$220K - $240K/yr

Ensure accurate medical documentation and coding (E/M, HCC) * Manage approximately 20-25 patients per day * Provide leadership to clinical and reception staff * Complete chart sign-offs and adhere to ...

Alerts Provider of prompts such HCC, MU, Quality metrics * Queues up orders as dictated by the ... coding skills * Medical Terminology, Anatomy & Physiology/ Medical Science Pay Range: $17.60 - $21 ...

Collaborate with coding, compliance, and clinical teams. Address documentation gaps and improve ... Ability to interpret medical records and clinical documentation. * Proficiency with CDI software ...

Proper and complete medical documentation (without copy/paste) for all patient care in order to assure accuracy of HCC coding. Failure to meet this essential job function can affect the eligibility ...

Proper and complete medical documentation (without copy/paste) for all patient care in order to assure accuracy of HCC coding. Failure to meet this essential job function can affect the eligibility ...

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Medical Coding Hcc Episource information

See Edison, NJ salary details

$16

$23

$35

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

As of Aug 24, 2026, the average hourly pay for medical coding hcc episource in Edison, NJ is $23.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $24.90 per hour, depending on experience, location, and employer.

What is a medical coding HCC specialist 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 skills and qualifications are needed to thrive as a medical coding HCC specialist at Episource?

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 are common challenges faced by medical coding HCC specialists 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.

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.

Is medical coding worth it in 2026?

Medical coding, including HCC coding roles like those at Episource, remains a valuable career due to ongoing healthcare industry growth and the demand for accurate medical record documentation. Certified coders with knowledge of coding systems and compliance standards are likely to find stable employment opportunities in the coming years.

What cities near Edison, NJ are hiring for Medical Coding Hcc Episource jobs?

Cities near Edison, NJ with the most Medical Coding Hcc Episource job openings:

HCC Coding Leader - Risk Adjustment

Mercor

New York, NY โ€ข Remote

$110/hr

Full-time

Re-posted 24 days ago


Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Risk-adjustment / HCC coding leader
Type: Contract
Compensation: $110/hour
Location: Remote

Role Responsibilities

  • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
  • Manage RADV audit preparation and response processes.
  • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.

Qualifications

Must-Have

  • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role.
  • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
  • Experience with RADV audit preparation and CMS compliance requirements.
  • Familiarity with RAPS and EDGE submission processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.

Preferred

  • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
  • Experience with risk adjustment analytics platforms and chart retrieval systems.
  • Background in health plan, Medicare Advantage organisation, or value-based care setting.
  • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
  • Experience presenting risk adjustment performance to actuarial or executive teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.