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Remote Hcc Coder Jobs in Falmouth, ME (NOW HIRING)

Remote Hcc Coder information

See Falmouth, ME salary details

$15

$21

$33

How much do remote hcc coder jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for remote hcc coder in Falmouth, ME is $21.94, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $23.51 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 cities near Falmouth, ME are hiring for Remote Hcc Coder jobs? Cities near Falmouth, ME with the most Remote Hcc Coder job openings:

*Registered Nurse Centralized Services - Hybrid after onsite training in Portland - $2,000 sign-on b

Martin's Point Health Care

Portland, ME • On-site

Full-time

Re-posted 6 days ago


Martin’s Point Health Care rating

7.4

Company rating: 7.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.
Position Summary
The Central RN serves as a vital member of the centrally managed nursing team at Martin's Point Healthcare providing flexible, system-wide support across key functions including clinical triage, inbox management and care coordination. This role partners closely with all members of the care team to promote seamless care coordination and drive improved health outcomes for patients. The central RN must demonstrate adaptability and clinical expertise with flexibility to shift based on real-time demand and operational priorities.
Job Description
PRIMARY DUTIES AND RESPONSIBILITIES
Employees are expected to work consistently to demonstrate the mission, vision, and core values of the organization.
  • Triages telephone calls applying standard protocols for patient care and recommendations dispositions
  • Evaluates patient symptoms, medical history and vital signs to triage patients in accordance with established guidelines and protocols to guide clinical decision making
  • Provides remote patient care, documentation and communication to patients and providers
  • Supports pre-visit planning and care coordination through summarizing patient needs and gaps for the visit, and updating the EMR as appropriate to include reconciliation of medications and ensuring appropriate orders are in place for the patient
  • Ensures that the provider has all the necessary clinical information about the patient prior to the visit, including clinical quality gaps, accurate diagnosis coding, and screenings that need to be addressed during the visit
  • Ensures timely and appropriate response to patient inquiries, test results, medication refills and other health related concerns communicated by the patient
  • Offers guidance and information to patients regarding their health concerns, treatment plans and self-care strategies through written and verbal communication
  • Maintains detailed and accurate records of all communications and actions taken in response to patient messages, ensuring compliance with best practices and regulatory requirements
  • Ensures accurate and timely documentation in the EMR, including scanning, per best practice guidelines and workflowsCoordinating care and services between providers and organizations to ensure that patient needs and preferences are met.
  • Promoting effective utilization of resources by facilitating and optimizing patient/member benefits.
  • Utilizing evidence-based guidelines and best practice care standards in clinical decision making and care management processes and interventions.
  • Educating patient/member and families to make informed personal health care decisions.
  • Meeting criteria for post-discharge outreach per organizational guidelines to support an effective intervention that results in reduction in readmission rates and integrity of health information during the transitional period.

POSITION QUALIFICATIONS
There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position.
Education
  • Associate degree in Nursing
  • Bachelor's in nursing preferred

Licensure/certification
  • Current, unrestricted state Registered Nurse licensure
  • BLS required

Experience
  • 3+ years' experience in a clinical environment, preferably in a primary care setting
  • 5+ years' experience in a clinical environment, preferably in a primary care setting preferred
  • Telephone triage experience preferred

Knowledge
  • Knowledge of healthcare operations, especially in a primary care setting
  • Knowledge of quality measures and how to improve patient outcomes through quality gap closure
  • Understanding or interest in expanding knowledge of clinical quality measures (HEDIS) and coding concepts (CPT, ICD10, and HCC) preferred
  • Understanding of EHR documentation and quality reporting preferred

Skills
  • Strong critical thinking, problem-solving, and project management skills
  • Exceptional organizational, written and verbal communication, and attention to detail skills
  • Computer proficiency in Microsoft Office software
  • Proficient in working within an electronic medical record (EMR)

Abilities
  • Demonstrates an understanding of and alignment with Martin's Point Values
  • Ability to follow clinical protocols and standard workflows
  • Maintains patient confidentiality

This position is not eligible for immigration sponsorship.
We are an equal opportunity/affirmative action employer.
Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact jobinquiries@martinspoint.org
Do you have a question about careers at Martin's Point Health Care? Contact us at: jobinquiries@martinspoint.org

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