... Coder) to understand denied procedures. § Corrects accounts that are billed incorrectly in the PM. § Helps the Revenue Cycle Specialists understand and complete their correction requests. § Assure ...
Quick apply
... Coder) to understand denied procedures. § Corrects accounts that are billed incorrectly in the PM. § Helps the Revenue Cycle Specialists understand and complete their correction requests. § Assure ...
Quick apply
... Coder) to understand denied procedures. § Corrects accounts that are billed incorrectly in the PM. § Helps the Revenue Cycle Specialists understand and complete their correction requests. § Assure ...
$15.07 - $16.67
6% of jobs
$17.80 is the 25th percentile. Wages below this are outliers.
$16.67 - $18.27
26% of jobs
The median wage is $19.18 / hr.
$18.27 - $19.87
31% of jobs
$19.87 - $21.46
7% of jobs
$22.14 is the 75th percentile. Wages above this are outliers.
$21.46 - $23.06
11% of jobs
$23.06 - $24.66
6% of jobs
$24.66 - $26.26
5% of jobs
$26.26 - $27.86
3% of jobs
$27.86 - $29.46
2% of jobs
$29.46 - $31.05
1% of jobs
$31.05 - $32.65
1% of jobs
$15
$21
$32
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.
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.
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.
For Remote Hcc Coder jobs in Tallahassee, FL, the most frequently searched job titles are:
The top searched job categories for Remote Hcc Coder jobs in Tallahassee, FL are:
Cities near Tallahassee, FL with the most Remote Hcc Coder job openings:

Full-time
Posted 26 days ago
Review and resolve coding issues related to billing and participate in process improvements for coding and accounts receivable management.
Ensure claims pass internal edits, are corrected or appealed in a timely manner, and appropriate information is submitted to insurance companies.
Utilize coding resources to understand denied procedures and correct billing errors to maximize the value of submitted claims.
Position Summary:
Under direct supervision of the Revenue Cycle Manager, this position reviews and resolves coding issues related to billing; researches coding issues and participates in process improvements related to coding and AR management. This position may also provide education to providers and staff on correct documentation, coding, and billing of medical claims.
· Work with accuracy and ensure changes are within the scope of the policies.
· Check that claims are passing internal edits in a timely fashion.
· Ensure that denied claims, are corrected or appealed in a timely manner.
· Provide appropriate feedback to management.
Qualifications:
§ High School Diploma or general education degree (GED)
§ CPC, CPC-A, RHIT or CCS Certification required.
§ 2 – 4 years of .
§ Knowledge of ICD10, CPT HCPCS and the use of modifiers preferred.
§ Surgical coding experience preferred.
§ Knowledge of Medicare Part B and commercial insurance products and plans.
§ Familiar with CMS 1500 completion preferred.
§ Advanced understanding of medical terminology and anatomy.
§ Familiar with NCCI guidelines.
§ Athena experience preferred.
§ Excellent communication skills both written and verbal.
§ Must be detail oriented and a self-starter
§ Requires comprehensive knowledge of computer skills including Microsoft Office Suite
§ Comfortable in a fast-paced working environment of a growing practice.
Key Responsibilities
§ Determine that appropriate information is submitted to insurance companies.
§ Ensure that the actions taken on denied claims are paid on the first follow-up call or appeal.
§ Maintains up to date knowledge of billing and reimbursement.
§ Identify and communicate AR trends and denial issues impacting AR or daily production.
§ Ability to meet productivity and accuracy standards.
§ Request appropriate adjustments based on contract, modifiers or appeal denials.
§ Works to understand the procedures billed in OP notes or bundling issues to maximize the value of submitted appeals.
§ Utilizes the coding resources (CPT, ICD-10, AAOS books, Decision Health and Select Coder) to understand denied procedures.
§ Corrects accounts that are billed incorrectly in the PM.
§ Helps the Revenue Cycle Specialists understand and complete their correction requests.
§ Assure compliance with all company plans, policies and procedures set forth by the Florida Orthopaedic Institute
§ All other duties as assigned.
MONDAY - FRIDAY - Full Time
Orthopaedic Solutions Management is a Drug Free Workplace
We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.