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Remote Hcc Coder Jobs in Michigan (NOW HIRING)

Inpatient Coder - Fully Remote

Flint, MI ยท On-site +1

$21.50 - $25.75/hr

Ensures proper assignment of diagnosis and procedure codes, along with validating and adjusting charges according to the services the patient received. Works collaboratively with Clinical ...

Coder Sr.

Caledonia, MI ยท On-site +1

Use of an electronic medical record and encoder in a remote work environment. * Codes outpatient or inpatient records according to coding guidelines and conventions. Assigns diagnoses and procedures ...

Use of an electronic medical record and encoder in a remote work environment. * Codes outpatient or inpatient records according to coding guidelines and conventions. Assigns diagnoses and procedures ...

Use of an electronic medical record and encoder in a remote work environment. * Codes outpatient or inpatient records according to coding guidelines and conventions. Assigns diagnoses and procedures ...

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Remote Hcc Coder information

See Michigan salary details

$13

$19

$29

How much do remote hcc coder jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for remote hcc coder in Michigan is $19.54, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $20.96 per hour, depending on experience, location, and employer.

What is a Remote HCC Coder job?

A Remote HCC Coder reviews medical records to assign accurate diagnosis codes for risk adjustment purposes, ensuring proper reimbursement for healthcare providers. They specialize in Hierarchical Condition Category (HCC) coding, which helps assess patient risk scores for Medicare Advantage and other value-based care programs. Working remotely, they must have strong attention to detail, knowledge of ICD-10-CM coding guidelines, and compliance with CMS regulations. Many employers require certification (such as CRC, CPC, or CCS) and experience in risk adjustment coding.

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

To excel as a Remote HCC Coder, you need strong knowledge of medical coding, diagnosis-related groupings, and HCC (Hierarchical Condition Category) risk adjustment, typically supported by a relevant certification such as CPC, CCS, or CRC. Familiarity with coding software, electronic health record (EHR) systems, and compliance regulations is essential. Attention to detail, time management, and effective written communication stand out as important soft skills for this remote role. These competencies ensure accurate, compliant coding and contribute to optimal risk adjustment outcomes for healthcare organizations.

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

Remote HCC Coders often encounter challenges such as interpreting complex patient medical records, maintaining high accuracy under productivity expectations, and staying updated on changing coding guidelines. Proactive communication with team members and clinical staff, regular participation in continuing education, and diligent organization of workflow help manage these challenges effectively. Many employers also offer robust support resources, including access to coding professionals for consultations and ongoing training. By actively engaging with available resources and prioritizing accuracy, Remote HCC Coders can succeed and find growth opportunities in this specialized field.

What job categories do people searching Remote Hcc Coder jobs in Michigan look for? The top searched job categories for Remote Hcc Coder jobs in Michigan are:
What cities in Michigan are hiring for Remote Hcc Coder jobs? Cities in Michigan with the most Remote Hcc Coder job openings:
Risk Adjustment Compliance Coder

Risk Adjustment Compliance Coder

Upper Peninsula Health Plan

Marquette, MI โ€ข Remote

$28.86/hr

Full-time

Posted 12 days ago


Job description

DATE: June 4, 2026POSITION:  Risk Adjustment Compliance CoderDEPARTMENT:  Finance-Risk AdjustmentRATE: $28.86 per hour, with potential for additional compensation based on qualifications. POSITION SUMMARY: 
The Risk Adjustment Compliance Coder is responsible for enhancing the accuracy, quality, and integrity of coding data that supports Medicare and Medicaid reimbursement. This role conducts risk adjustment coding audits, performs compliance research, responds to coding inquiries, and serves as a subject matter expert in risk adjustment coding and compliance. The position supports Medicare and Medicaid risk adjustment programs through the development, implementation, and ongoing evaluation of program initiatives. Highly collaborative and operational in nature, this role partners closely with providers and internal stakeholders and requires strong communication, education, and relationship-management skills. This is not a traditional production-focused coding position. 
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.
 
2. Collaborates with Risk Adjustment Analyst to develop, implement, and continually refine internal prospective and retrospective chart review programs and related risk adjustment initiatives.
 
3. Follows International Classification of Diseases (ICD)-10 guidelines for Coding and Reporting, Centers for Medicare & Medicaid Services (CMS) risk adjustment guidelines, and demonstrates knowledge of Current Procedural Terminology (CPT) coding. Understands the impact of ICD-10 coding on the CMS Hierarchical Condition Categories (HCC) risk adjustment model, and serves as the subject matter expert for risk adjustment activities.
 
4. Supports risk adjustment compliance and program integrity activities, including RADV preparedness, high-risk diagnosis review and validation, audit support, and identification and escalation of potential coding or documentation compliance concerns.
 
5. Assists with extraction of charts via remote Electronic Medical Record (EMR) access or faxed medical record request for risk adjustment initiatives.
 
6. Performs comprehensive medical record review, verifying and ensuring accuracy, completeness, specificity, and appropriateness of diagnoses codes in accordance with ICD-10 guidelines based on medical record documentation. Documents trends, observations, and potential coding or documentation improvement opportunities identified during the review process.
 
7. Maintains a comprehensive tracking and management tool to track all coding activities; generates and maintains accurate weekly, monthly, and quarterly reports of activities.
 
8. Assists with chart review encounter data submissions to CMS based on chart review findings.
 
9. Provides support during the annual retrospective chart review performed by an external party.
 
10. Identifies, develops, and delivers general and specific educational guidance to providers and clinic staff through webinars, newsletters, presentations, and other educational forums based on risk adjustment audit findings, CMS guidelines, regulatory requirements, and industry best practices.
 
11. Collaborates with internal departments, as appropriate, to carry out risk adjustment program activities to ensure integrity of diagnoses attributed to members submitted to the Michigan Department of Health and Human Services (MDHHS) and CMS by UPHP.
 
12. Collaborates with healthcare leaders, physicians, and provider office personnel to improve the accuracy and completeness of diagnosis code capture. Facilitates provider education, documentation clarification, and coding-related discussions in a professional, consultative manner to support risk adjustment and compliance objectives. 
 
13. Maintains confidentiality of client data.
 
14. Performs other related duties as assigned or requested.
POSITION QUALIFICATIONS:Education:Minimum:
High School Diploma
 Preferred:
Associate degree in business, health information processing, or related field 
 Certification:Minimum:
Must possess and maintain an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification—Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC)
 Preferred:
Certified Coding Specialist (CCS-P, CCS, CPC) and Certified Risk Adjustment Coder (CRC)
 
Experience:Minimum:
Two (2) years of experience in medical chart coding
 Preferred:
Five (5) years of experience in medical chart coding, including inpatient and outpatient settings; working knowledge of managed care and health plan standards on Risk Adjustment Coding
 
Other Qualifications:
Knowledge and understanding of medical terminology, disease process, and anatomy and physiology
Advanced knowledge and understanding of CPT coding across a wide variety of provider specialties
 Required Skills:
Excellent organizational abilities with attention to detail
Ability to effectively communicate with, and educate, clinic staff (provider, care managers, clinic quality leads, etc.)
Working knowledge of Microsoft Office (Word, Excel, Outlook)
Keyboarding proficiency
Research and analytical skills
 Preferred Skills:
Knowledge of MS PowerPoint
Oriented to managed care
 
The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.
 
Physical Requirements: 
[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:
 
Ability to enter and access information from a computer
Occasionally lifts supplies/equipment
Prolonged periods of sitting
Manual dexterity 
 
Working Conditions:
Position available onsite (in Marquette, Michigan), fully remote, or hybrid with a remote work option up to three (3) days per week 
Works in office conditions, but occasional travel is required
Exposure to situations requiring exceptional interpersonal skills or high productivity
Occasionally subjected to irregular hours
Subject to many interruptions
 Remote Work Requirements:
Remote candidates must reside in the state of Michigan
For fully remote team members, initial on-site/in-person onboarding and training for a minimum of ten (10) consecutive business days at UPHP’s headquarters in Marquette, Michigan (stipend provided) 
Periodic travel to UPHP’s headquarters for regular training including all staff meetings
Private home office required; computer and phone hardware provided
Personal vehicle required for periodic travel; mileage reimbursement provided at GSA rate
Employment Type: FULL_TIME