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Remote Hcc Auditor Jobs in Silver Spring, MD (NOW HIRING)

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Remote Hcc Auditor information

See Silver Spring, MD salary details

$66.7K

$89.9K

$100.8K

How much do remote hcc auditor jobs pay per year?

As of Jul 26, 2026, the average yearly pay for remote hcc auditor in Silver Spring, MD is $89,889.00, according to ZipRecruiter salary data. Most workers in this role earn between $86,800.00 and $95,600.00 per year, depending on experience, location, and employer.

What is a Remote HCC Auditor job?

A Remote HCC Auditor reviews medical records to ensure accurate Hierarchical Condition Category (HCC) coding and compliance with risk adjustment guidelines. They work from home, analyzing documentation to validate the appropriate assignment of diagnosis codes. This role helps healthcare organizations optimize reimbursement and maintain coding integrity. Strong knowledge of ICD-10 coding, Medicare guidelines, and auditing best practices is essential.

What are the key skills and qualifications needed to thrive in the Remote Hcc Auditor position, and why are they important?

To thrive as a Remote HCC Auditor, you need expertise in medical coding, healthcare compliance, and risk adjustment principles, usually supported by credentials such as CPC, CRC, or a similar certification. Familiarity with electronic health records (EHRs), coding software, and Medicare Advantage systems is essential. Attention to detail, analytical thinking, and strong written communication help auditors deliver accurate reviews and clear reports in a remote environment. These combined skills ensure precise coding, regulatory compliance, and effective collaboration with healthcare teams to optimize risk adjustment outcomes.

What are some common challenges faced by Remote HCC Auditors, and how can they be managed?

Remote HCC Auditors often encounter challenges such as interpreting complex medical documentation, staying updated with evolving coding regulations, and maintaining focus while working independently. Managing these challenges involves ongoing professional development, open communication with coding and clinical teams, and utilizing productivity tools to track assignments. Connecting regularly with colleagues and participating in virtual audits or training sessions can foster a sense of teamwork and help address coding discrepancies. By proactively seeking resources and building strong digital communication habits, auditors can excel and deliver accurate, compliant results.

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What cities near Silver Spring, MD are hiring for Remote Hcc Auditor jobs? Cities near Silver Spring, MD with the most Remote Hcc Auditor job openings:
Remote Hcc Auditor jobs near you
Infographic showing various Remote Hcc Auditor job openings in Silver Spring, MD as of June 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $89,889 per year, or $43.2 per hour.

HCC Coding Validation Specialists

Careers - Healthcare Resolution Services

Columbia, MD • Remote

Contractor

Posted 19 days ago

Job description

Job description:

Job Overview

We are seeking a highly skilled and detail-oriented HCC Coding Analyst to join our healthcare revenue cycle management team. The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Your expertise in ICD-9, ICD-10, CPT coding, and DRG assignment will contribute significantly to the efficiency and compliance of our billing processes. This position offers an opportunity to work within a dynamic healthcare environment dedicated to accuracy, compliance, and quality patient care.

Duties

  • Review NLP-generated HCC coding output.
  • Validate assigned codes against available documentation.
  • Identify unsupported, inaccurate, or missing codes.
  • Make corrections in the platform or designated workflow.
  • Follow customer coding instructions and project guidelines.
  • Complete assigned records in accordance with agreed production expectations.
  • Utilize electronic health record (EHR) systems and electronic health records (EHR) management tools for coding, record abstraction, and billing workflows.
  • Conduct audits of coded records to identify discrepancies and implement corrective actions to improve coding accuracy.
  • Maintain up-to-date knowledge of changes in medical coding standards, CMS regulations, and healthcare policies affecting reimbursement.
  • Support revenue cycle management initiatives by ensuring precise coding that maximizes appropriate reimbursements while maintaining compliance.

Requirements

  • Proven experience in medical coding with a focus on HCC coding within a healthcare setting.
  • Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG assignment processes.
  • Familiarity with medical billing procedures, medical records management, and electronic health record (EHR) systems.
  • Understanding of the CMS guidelines for risk adjustment models and reimbursement policies.
  • Excellent attention to detail with the ability to accurately abstract information from complex medical records.
  • Knowledge of medical terminology, anatomy, pathology, and clinical documentation practices.
  • Prior experience with electronic health records (EHR) management for billing and coding is highly desirable.
  • Effective communication skills for collaborating with clinicians, billing teams, and auditors.

Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!

Benefits:

  • Flexible schedule
  • Work Location: Remote

Apply