IPA Consultative Coder
Chesapeake, VA · On-site +1
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must residewithin 50 milesof Chesapeake, Suffolk or Virginia Beach ...
Chesapeake, VA · On-site +1
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must residewithin 50 milesof Chesapeake, Suffolk or Virginia Beach ...
Chesapeake, VA · On-site +1
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must residewithin 50 milesof Chesapeake, Suffolk or Virginia Beach ...
Suffolk, VA · On-site +1
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must residewithin 50 milesof Chesapeake, Suffolk or Virginia Beach ...
Suffolk, VA · On-site +1
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must residewithin 50 milesof Chesapeake, Suffolk or Virginia Beach ...
Newport News, VA · On-site +1
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must residewithin 50 milesfrom Newport News, Hampton or Williamsburg ...
Newport News, VA · On-site +1
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must residewithin 50 milesfrom Newport News, Hampton or Williamsburg ...
$25 - $26.70/hr
... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... Excellent written and verbal communication skills, ability to work in a remote environment, and ...
$25 - $26.70/hr
... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... Excellent written and verbal communication skills, ability to work in a remote environment, and ...
Dallas, TX · Remote
$25 - $26.70/hr
... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... Excellent written and verbal communication skills, ability to work in a remote environment, and ...
Quick apply
Dallas, TX · Remote
$25 - $26.70/hr
... HCC (Hierarchical Condition Category) coder you will review medical records to identify and code ... Excellent written and verbal communication skills, ability to work in a remote environment, and ...
Pensacola, FL · Remote
$16.75 - $21.25/hr
... codes, HCPCS codes and modifier application per payer specific guidelines. This is a remote ... categories (HCC) and risk adjustment factors (RAF). * Understands complexity of billing ...
Pensacola, FL · Remote
$16.75 - $21.25/hr
... codes, HCPCS codes and modifier application per payer specific guidelines. This is a remote ... categories (HCC) and risk adjustment factors (RAF). * Understands complexity of billing ...
Sarasota, FL · Remote
$80K - $90K/yr
Senior Clinical Coder (Inpatient Facility Coding) - Remote $80,000-$90,000 | Contract-to-Hire | 100% Remote Are you an experienced Inpatient Facility Clinical Coder with strong DRG validation ...
Quick apply
Sarasota, FL · Remote
$80K - $90K/yr
Senior Clinical Coder (Inpatient Facility Coding) - Remote $80,000-$90,000 | Contract-to-Hire | 100% Remote Are you an experienced Inpatient Facility Clinical Coder with strong DRG validation ...
$23.25 - $31/hr
Job Title REMOTE position WebEx video interview will be conducted prior to an offer MUST be able to ... Clinic Coding experience REQUIRED * knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and ...
$23.25 - $31/hr
Job Title REMOTE position WebEx video interview will be conducted prior to an offer MUST be able to ... Clinic Coding experience REQUIRED * knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and ...
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job ... HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ...
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job ... HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ...
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote Location: Must reside within 50 miles Orange City, FL 32763 Hours: Monday-Friday, 8 ...
New
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote Location: Must reside within 50 miles Orange City, FL 32763 Hours: Monday-Friday, 8 ...
New
Miramar, FL · On-site +1
$17.25 - $22.75/hr
Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding ...
Miramar, FL · On-site +1
$17.25 - $22.75/hr
Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding ...
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job ... HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ...
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job ... HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ...
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job ... HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ...
Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job ... HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS ...
$22.25 - $26.75/hr
This position is remote. Applicants must reside in one of the following states: Alabama, Colorado ... HCC), and risk adjustment factors (RAF). * Demonstrates an excellent working knowledge of hospital ...
$22.25 - $26.75/hr
This position is remote. Applicants must reside in one of the following states: Alabama, Colorado ... HCC), and risk adjustment factors (RAF). * Demonstrates an excellent working knowledge of hospital ...
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must reside within 50 miles West Palm Beach, FL 33406 * Hours: Monday ...
New
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote * Location: Must reside within 50 miles West Palm Beach, FL 33406 * Hours: Monday ...
New
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote Location: Must reside within 50 miles Palm Beach Gardens, FL 33410 Hours: Monday ...
New
HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Hybrid/remote Location: Must reside within 50 miles Palm Beach Gardens, FL 33410 Hours: Monday ...
New
Familiarity with HCC coding and risk adjustment models. * Experience working in a value-based care or accountable care setting. Why Join Us: * 100% remote work - flexible schedule and work-from-home ...
Familiarity with HCC coding and risk adjustment models. * Experience working in a value-based care or accountable care setting. Why Join Us: * 100% remote work - flexible schedule and work-from-home ...
Familiarity with HCC coding and risk adjustment models. * Experience working in a value-based care or accountable care setting. Why Join Us: * 100% remote work - flexible schedule and work-from-home ...
Familiarity with HCC coding and risk adjustment models. * Experience working in a value-based care or accountable care setting. Why Join Us: * 100% remote work - flexible schedule and work-from-home ...
Familiarity with HCC coding and risk adjustment models. * Experience working in a value-based care or accountable care setting. Why Join Us: * 100% remote work flexible schedule and work-from-home ...
Quick apply
Familiarity with HCC coding and risk adjustment models. * Experience working in a value-based care or accountable care setting. Why Join Us: * 100% remote work flexible schedule and work-from-home ...
Huntsville, AL · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...
Huntsville, AL · Remote
$600 - $720/day
Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...
$15.87 - $17.55
6% of jobs
$18.74 is the 25th percentile. Wages below this are outliers.
$17.55 - $19.23
26% of jobs
The median wage is $20.19 / hr.
$19.23 - $20.91
31% of jobs
$20.91 - $22.60
7% of jobs
$23.31 is the 75th percentile. Wages above this are outliers.
$22.60 - $24.28
11% of jobs
$24.28 - $25.96
6% of jobs
$25.96 - $27.64
5% of jobs
$27.64 - $29.33
3% of jobs
$29.33 - $31.01
2% of jobs
$31.01 - $32.69
1% of jobs
$32.69 - $34.38
1% of jobs
$15
$22
$34
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.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 18 days ago
9.0
Based on 10 frontline employees who took The Breakroom Quiz
Relationship Management and Provider Support
Be the primary contact for assigned IPA providers for all coding and documentation-related inquiries.
Build consultative relationships with providers to support continuous improvement in coding accuracy and documentation practices.
Deliver targeted education based on provider-specific trends and opportunities identified through chart reviews and coding analytics.
Quarterly Chart Reviews and Education
Conduct quarterly chart reviews for assigned providers to evaluate coding accuracy, documentation integrity, and risk capture opportunities.
Develop and deliver comprehensive education based on findings, including documentation best practices and coding optimization strategies.
Identify trends and recurringgaps, andpartner with education and leadership teams to address systemic opportunities.
Coding Tools, Workflow Support, and Operations
Support daily operations of internal coding solutions, including Annual Proof of Documentation (APD 2.0) and any future tools implemented based on organizational needs.
Assist providers in navigating coding workflows, resolving issues, and ensuring successful use of coding tools.
Monitor and support completion of coding activities tied to assigned providers.
IPA Coding Helpdesk Support
Participate in a daily coder helpdesk (virtual/Zoom-based), providing real-time support to providers within assigned markets.
Address immediate coding and documentation questions, ensuring accurate guidance.
Maintain a high level of responsiveness and provider engagement.
HCC Outage and Recapture Support
Support HCC outage management through structured reviews of "assessed but not coded" conditions.
Conduct targeted reviews to identify missed coding opportunities and provide education to improve recapture performance.
Collaborate with analytics and leadership teams to track and improve performance outcomes.
Required Qualifications:
3+ years of risk adjustment MedicalCodingor riskadjustmentProviderEducation
Intermediate/advanced competency with MS Office based programs (Excel, Word, PowerPoint)
Must be certified at least one of the following: CCS, CRC, or CPC
Must resideand be able to travelwithin the assigned MSO market or region.
Preferred Qualifications:
Strong communication and interpersonal skills are essential. These skills enable effective, clear, and sensitive engagement with clinicians and team members, even in high-pressure or stressful situations. They also facilitate presenting, influencing, and building credibility at all levels of the organization.
Positive, collaborative mindset with an ability to foster partnerships across Coding, Audit and Education, PCO, and Humana teams.
Additional Information
We ask that youhave the ability totravel locally for in-office provider support.
Standard working hours required; based on market needs.
Travel may be required based on provider engagement and business needs.
Work Information:
This role requires an in-center presence, involving daily commute to assigned clinic(s) and occasional (quarterly) travel within the market to alternative clinic(s) for strategic meetings.
Workstyle: Hybrid/remote
Location:Must residewithin 50 milesof Chesapeake, Suffolk or Virginia Beach, Virginia
Hours:Monday-Friday, 8:00 AM-5:00 PM; additional time may be required.
TB Statement:
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Driving Statement:
This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.Individualmust carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
Work at Home Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Get the full story on Breakroom
Sourced by ZipRecruiter