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Medical Coding Hcc Episource Jobs (NOW HIRING)

HCC Certified Coder

$23 - $31.50/hr

HCC Certified Coder The Monogram HCC Certified Coder will abstract clinical information and assign ... Performs coding abstraction and medical chart quality audits to ensure clinicians have accurate ...

Manager, Coding Operations

Denver, CO · Remote

$85K - $104K/yr

... medical record review, healthcare payment and coding methodologies, (i.e. ICD 10-CM, CPT, HCPCS, DRG, HCC coding and RADV audits). * Extensive knowledge of documentation and coding guidelines ...

This role is focused exclusively on coding workflows: reviewing medical records, identifying diagnosis codes, validating documentation and ensuring compliance with CMS-HCC and risk adjustment ...

Risk Adjustment Coder

$19.25 - $25.50/hr

HCC's and other RA methodologies, ICD-10-CM coding guidelines, Office of Inspector General (OIG) and Federal and State regulations * Extensive knowledge of medical terminology, anatomy, and ...

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

... coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT ... Risk Adjustment / HCC knowledge required * Managed Care experience preferred

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Medical Coding Hcc Episource information

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$15

$22

$34

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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What cities are hiring for Medical Coding Hcc Episource jobs? Cities with the most Medical Coding Hcc Episource job openings:
What states have the most Medical Coding Hcc Episource jobs? States with the most job openings for Medical Coding Hcc Episource jobs include:
HCC Certified Coder

$23 - $31.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago


Job description

Position: HCC Certified Coder
The Monogram HCC Certified Coder will abstract clinical information and assign appropriate diagnosis and procedure codes in accordance with nationally recognized coding guidelines. The HCC Certified Coder will analyze and translate medical and clinical diagnoses, in adherence with the CMS Risk Adjustment Models. The successful candidate will work as a team with our coding team and providers. Primary duties include auditing patient health assessment, peer coding quality reviews, provider and coding team training and education. Performs medical chart audits on prospective basis to identify, monitor and document claims and encounter coding information as it relates to Hierarchical Condition Categories (HCC). Performs coding abstraction and medical chart quality audits to ensure clinicians have accurate clinical documentation to support ICD-10 codes and are adhering to CMS Risk Adjustment guidelines. Educates clinicians on specific coding issues found in their charts and keeps them abreast of coding and documentation guidelines.
Roles and Responsibilities
  • Maintains 95% coding accuracy rate
  • Maintains production goals
  • Experience working remotely with proven ability to prioritize tasks, meet goals and deadlines
  • Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, modifiers).
  • Demonstrate advanced knowledge of medical terminology, anatomy, and physiology
  • Provides timely correspondence with providers regarding clinical documentation opportunities and queries.
  • Identifies trends through data analysis or chart review, reviewing existing policy for accuracy and developing new policies and recommends solutions to meet objectives.
  • Keeps abreast of mandated regulatory, documentation and coding guidelines to documentation, including demonstrated proficiency with all areas of CPT, ICD-10 and HCPCS coding. E/M code assignment, auditing, and education.
  • Performs quality audits, education, and training for coding team.
  • Works closely with leadership to create coding tools for coding team and providers.
  • Performs other duties as required or assigned

Position Requirements
  • CPC, CCS, or CCS-P credentials, required
  • CRC credentials, required
  • 3+ years' experience in Certified Coder role
  • 3+ years' experience in HCC coding
  • Experience with Athena is a plus.
  • Experience with medical billing is a plus.
  • Experience coding Nephrology is a plus.
  • Must have proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Record
  • Experience communicating & working closely with Physicians
  • Experience in Medicare programs and regulations including fraud and abuse and Risk Adjustment
  • Familiar with STARs performance measures and metrics.

Benefits
  • Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care
  • Competitive salary and opportunity to participate in the company's bonus program
  • Comprehensive medical, dental, vision and life insurance
  • Flexible paid leave and vacation policy
  • 401(k) plan with matching contributions

About Monogram Health
Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.
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Equal Opportunity Employer
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