Risk Adjustment, HCC or Inpatient coding experience required. Required Licenses, Certifications ... Work Environment Work primarily performed in office or remote environment. Travel may be required ...
Risk Adjustment, HCC or Inpatient coding experience required. Required Licenses, Certifications ... Work Environment Work primarily performed in office or remote environment. Travel may be required ...
PACE Risk Adjustment Coder
Salt Lake City, UT · On-site +1
This is a remote contract position. Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory ...
PACE Risk Adjustment Coder
Salt Lake City, UT · On-site +1
This is a remote contract position. Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory ...
Multi-Specialty Professional Coder - Hospitalist Primary
Salt Lake City, UT · On-site +1
$18 - $24.25/hr
This is a remote position We are seeking a highly motivated and dedicated coding professional to join our team as a professional medical coder. This position is remote. The ideal candidate must have ...
Multi-Specialty Professional Coder - Hospitalist Primary
Salt Lake City, UT · On-site +1
$18 - $24.25/hr
This is a remote position We are seeking a highly motivated and dedicated coding professional to join our team as a professional medical coder. This position is remote. The ideal candidate must have ...
Certified Coder -Administrative Services East - Full Time
South Ogden, UT · On-site +1
$22.52/hr
Enjoy the flexibility of remote work while staying connected to a dynamic and inclusive team ... Strong knowledge of coding and medical terminology * Excellent problem-solving and communication ...
Certified Coder -Administrative Services East - Full Time
South Ogden, UT · On-site +1
$22.52/hr
Enjoy the flexibility of remote work while staying connected to a dynamic and inclusive team ... Strong knowledge of coding and medical terminology * Excellent problem-solving and communication ...
Coding Specialist
Salt Lake City, UT · On-site +1
$20 - $23/hr
As a Bristol Hospice Coding Specialist, you are responsible for the review of medical documentation to ensure all codes are entered accurately. This position will also meet coding deadlines, resolve ...
Coding Specialist
Salt Lake City, UT · On-site +1
$20 - $23/hr
As a Bristol Hospice Coding Specialist, you are responsible for the review of medical documentation to ensure all codes are entered accurately. This position will also meet coding deadlines, resolve ...
As a home health medical coder, you will be responsible for reviewing patient records to ensure accurate coding for billing. As an OASIS auditor you will be responsible for reviewing patient ...
As a home health medical coder, you will be responsible for reviewing patient records to ensure accurate coding for billing. As an OASIS auditor you will be responsible for reviewing patient ...
Clinical Documentation Coding Specialist III
Salt Lake City, UT · On-site +1
$33.75 - $45.25/hr
EO/AA This position provides inpatient facility coding and Clinical Documentation Improvement (CDI) support in Health Information Management department with minimal educational intervention required.
Clinical Documentation Coding Specialist III
Salt Lake City, UT · On-site +1
$33.75 - $45.25/hr
EO/AA This position provides inpatient facility coding and Clinical Documentation Improvement (CDI) support in Health Information Management department with minimal educational intervention required.
Remote Hcc Coder information
See Utah salary details
$14.44 - $15.98
6% of jobs
$17.06 is the 25th percentile. Wages below this are outliers.
$15.98 - $17.51
26% of jobs
The median wage is $18.38 / hr.
$17.51 - $19.04
31% of jobs
$19.04 - $20.57
7% of jobs
$21.22 is the 75th percentile. Wages above this are outliers.
$20.57 - $22.10
11% of jobs
$22.10 - $23.63
6% of jobs
$23.63 - $25.17
5% of jobs
$25.17 - $26.70
3% of jobs
$26.70 - $28.23
2% of jobs
$28.23 - $29.76
1% of jobs
$29.76 - $31.29
1% of jobs
$14
$20
$31
How much do remote hcc coder jobs pay per hour?
What is a remote HCC coder?
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 as a remote HCC coder?
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.

Quality Assurance Risk Adjustment Auditor I/II
Salt Lake City, UT • On-site, Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 15 days ago
Cambia Health Solutions rating
8.4
Based on 32 frontline employees who took The Breakroom Quiz
116th of 304 rated insurance
Job description
Hybrid role(3days/weekin office)atourPortland, Medford, Boise, Lewiston or Salt Lake Cityoffices. Candidates must reside within commutable distance of that location.
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's dedicated team of Risk Adjustment Auditor is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our The Risk Adjustment Auditor performs Retrospective/Prospective chart review utilizing various types of records to ensure accurate risk adjustment reporting. Responsible for assisting in second level reviews of all new HCCs identified through the first pass chart review process. Identifies trends in provider coding/documentation and vendor risk adjustment reporting and makes those trends known to leadership as well as coding team manager and training lead to develop intervention strategies - all in service of creating a person-focused health care experience.
Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Risk Adjustment Auditor I would have an Associate degree in Healthcare or related field and one year of experience in clinical coding or auditing or equivalent combination of education and experience. Risk Adjustment, HCC or Inpatient coding experience required.
Risk Adjustment Auditor II would have an Associate degree in Healthcare or related field and three years of experience in clinical coding or auditing or equivalent combination of education and experience. Risk Adjustment, HCC or Inpatient coding experience required.
Required Licenses, Certifications, Registration, Etc.
CPC and CRC coding certification required
Skills and Attributes:
Demonstrated ability to perform accurate and complete chart reviews for risk adjustment.
Demonstrated ability to perform quality audits of internal and vendor coding.
Knowledge of and adherence to Official ICD-9-CM/ICD-10 Coding Guidelines.
Demonstrated analytical ability to identify problems, develop solutions, and implement actions in a timely manner.
Demonstrated ability to identify and communicate trends in provider and vendor coding and documentation.
Demonstrated proficient PC skills and familiarity with corporate software, such as Word, Excel and Outlook.
Effective verbal and written communication skills.
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
Additional Skills and Attributes for Risk Adj Auditor II
Knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions for governmental and commercial products.
Advanced knowledge and understanding of risk adjustment, coding and documentation requirements.
Demonstrated ability to provide proactive and creative solutions to business problems.
What You Will Do at Cambia:
Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting.
Performs quality reviews of vendor coding in support of the risk adjustment process
Verifies and ensures the accuracy, completeness, specificity and appropriateness of provider-reported diagnosis codes based on medical record documentation.
Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC and HHS HCC categories.
Identifies trends in provider and vendor coding and documentation and partners with coding team manager and training lead to develop intervention strategies.
Supports and actively participates in process and quality improvement initiatives.
Maintains knowledge of relevant regulatory mandates and ensures activities are in compliance with requirements.
Consistently meets departmental performance and attendance requirements.
Additional Duties for Risk Adj Auditor II
Serves as a mentor to Risk Adjustment Auditor I staff.
Assists with special projects such as risk mitigation reviews.
Serves as subject matter resource regarding the risk adjustment process and diagnosis coding for risk adjustment.
Monitors and interprets regulatory changes that may impact administration of the Risk Adjustment Program. Assists with implementation activities as a result of regulatory changes to the Program.
Work Environment
Work primarily performed in office or remote environment.
Travel may be required, locally or out of state.
May be required to work overtime.
May be required to work outside normal hours.
Risk Adjustment Auditor I:
Oregon, Utah, and Idaho:The expected hiring range is$57,800.00 - $78,200.00, the full salary range is54,000.00 - $89,000.00and the bonus target is5%.
Risk Adjustment Auditor II:
Oregon, Utah, and Idaho:The expected hiring range is$69,700.00 - $94,300.00, the full salary range is$65,000.00 - $107,000.00and the bonus target is10%.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
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About Cambia Health Solutions
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Portland, OR, US
Year founded
1996