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Overnight Remote Hcc Coder Jobs in Virginia (NOW HIRING)

Sentara Healthcare

Compliance Coding Auditor

Norfolk, VA · On-site +1

... HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment ... Professional fee coding experience (Required) Remote work opportunity preferred candidates in the ...

Guidehouse

Database Administrator

Mclean, VA · Remote

$85K - $141K/yr

... code * Ability to troubleshoot and resolve data, system performance issues * Knowledge with AWS ... May require participation in a 24X7 on-call rotation or overnight deployment. * Strong expertise in ...

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Overnight Remote Hcc Coder information

What are the key skills and qualifications needed to thrive as an Overnight Remote HCC Coder, and why are they important?

To thrive as an Overnight Remote HCC Coder, you need strong knowledge of ICD-10-CM coding, risk adjustment principles, and experience with medical record review, typically supported by a coding certification such as CPC, CCS, or CRC. Familiarity with electronic health record (EHR) systems, coding software, and secure remote workflow tools is essential. Attention to detail, self-motivation, and effective written communication are crucial soft skills for accuracy and collaboration in a remote setting. These competencies ensure compliance, data integrity, and optimized risk adjustment outcomes for healthcare organizations.

What is an Overnight Remote HCC Coder?

An Overnight Remote HCC Coder is a medical coding professional who works remotely, typically during nighttime hours, to review patient medical records and assign the correct Hierarchical Condition Category (HCC) codes. These codes are crucial for risk adjustment and accurate billing in healthcare organizations, especially for Medicare Advantage plans. By working overnight and remotely, these coders help ensure timely processing of medical records and support continuous healthcare operations. They must have strong knowledge of medical terminology, coding systems like ICD-10, and compliance regulations.

What are some unique challenges faced by Overnight Remote HCC Coders, and how can I prepare for them?

Overnight Remote HCC Coders often work independently during non-traditional hours, which can present challenges such as staying motivated and maintaining focus without immediate team support. Additionally, coders must be adept at managing time efficiently to meet productivity and accuracy targets while handling potentially complex cases. To prepare, it's helpful to establish a structured routine, ensure a comfortable and distraction-free workspace, and leverage communication tools to stay connected with your team for support and updates. Regularly reviewing HCC coding guidelines and participating in ongoing training will also help you stay current and confident in your role.

What is the difference between Overnight Remote Hcc Coder vs Remote Medical Coder?

AspectOvernight Remote Hcc CoderRemote Medical Coder
CertificationsAHIMA or AAPC credentials, HCC-specific trainingCCS, CPC, or similar coding certifications
Work EnvironmentRemote, overnight shifts, healthcare facilities or insurance companiesRemote, flexible hours, healthcare providers or billing companies
Industry UsageInsurance, risk adjustment, Medicare Advantage plansHospitals, clinics, billing services

Overnight Remote Hcc Coders focus on risk adjustment coding for insurance and Medicare Advantage plans, often working overnight shifts. Remote Medical Coders have broader healthcare coding roles across various settings. While both require coding certifications and remote work skills, HCC coders specialize in risk adjustment, making their roles more specific within the insurance industry.

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Overnight Remote Hcc Coder jobs near you
IPA Consultative Coder

IPA Consultative Coder

CenterWell Primary Care

Williamsburg, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

CenterWell rating

9.0

Company rating: 9.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community
Become a part of our caring community and help us put health first
The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues.
As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while collaborating with STARS leaders and champions to identify STARS gaps and deficiencies.
The IPA Consultative Coding Professional provides medical coding expertise to support IPA-affiliated clinicians-including physicians and advanced practice providers-to ensure documentation supports accurate diagnostic coding and risk adjustment capture.

Relationship Management and Provider Support

  • Be the primary contact for assigned IPA providers for all coding and documentation-related inquiries.

  • Build consultative relationships with providers to support continuous improvement in coding accuracy and documentation practices.

  • Deliver targeted education based on provider-specific trends and opportunities identified through chart reviews and coding analytics.

Quarterly Chart Reviews and Education

  • Conduct quarterly chart reviews for assigned providers to evaluate coding accuracy, documentation integrity, and risk capture opportunities.

  • Develop and deliver comprehensive education based on findings, including documentation best practices and coding optimization strategies.

  • Identify trends and recurringgaps, andpartner with education and leadership teams to address systemic opportunities.

Coding Tools, Workflow Support, and Operations

  • Support daily operations of internal coding solutions, including Annual Proof of Documentation (APD 2.0) and any future tools implemented based on organizational needs.

  • Assist providers in navigating coding workflows, resolving issues, and ensuring successful use of coding tools.

  • Monitor and support completion of coding activities tied to assigned providers.

IPA Coding Helpdesk Support

  • Participate in a daily coder helpdesk (virtual/Zoom-based), providing real-time support to providers within assigned markets.

  • Address immediate coding and documentation questions, ensuring accurate guidance.

  • Maintain a high level of responsiveness and provider engagement.

HCC Outage and Recapture Support

  • Support HCC outage management through structured reviews of "assessed but not coded" conditions.

  • Conduct targeted reviews to identify missed coding opportunities and provide education to improve recapture performance.

  • Collaborate with analytics and leadership teams to track and improve performance outcomes.


Use your skills to make an impact

Required Qualifications:

  • 3+ years of risk adjustment MedicalCodingor riskadjustmentProviderEducation

  • Intermediate/advanced competency with MS Office based programs (Excel, Word, PowerPoint)

  • Must be certified at least one of the following: CCS, CRC, or CPC

  • Must resideand be able to travelwithin the assigned MSO market or region.

Preferred Qualifications:

  • Strong communication and interpersonal skills are essential. These skills enable effective, clear, and sensitive engagement with clinicians and team members, even in high-pressure or stressful situations. They also facilitate presenting, influencing, and building credibility at all levels of the organization.

  • Positive, collaborative mindset with an ability to foster partnerships across Coding, Audit and Education, PCO, and Humana teams.

Additional Information

  • We ask that youhave the ability totravel locally for in-office provider support.

  • Standard working hours required; based on market needs.

  • Travel may be required based on provider engagement and business needs.

Work Information:

This role requires an in-center presence, involving daily commute to assigned clinic(s) and occasional (quarterly) travel within the market to alternative clinic(s) for strategic meetings.

  • Workstyle: Hybrid/remote

  • Location:Must residewithin 50 milesfrom Newport News, Hampton or Williamsburg, Virginia.

  • Hours:Monday-Friday, 8:00 AM-5:00 PM; additional time may be required.

TB Statement:

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Driving Statement:

This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.Individualmust carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Work at Home Statement

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

  • Satellite, cellular and microwave connection can be used only if approved by leadership.

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$59,300 - $80,900 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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