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Remote Hcc Coders Jobs (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Atlanta, GA · 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 ...

Sprinter Health

Clinical Manager, Virtual Care

$130K - $145K/yr

... and inspire our remote team of Nurse Practitioners across multiple states. This role blends ... Strong knowledge of HCC coding, risk adjustment, and MEAT documentation standards * Experience ...

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How much do remote hcc coders jobs pay per hour?

As of Jun 28, 2026, the average hourly pay for remote hcc coders in the United States is $21.50, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What are Remote HCC Coders?

Remote HCC Coders are professionals who work from home or other remote locations to review medical records and assign Hierarchical Condition Category (HCC) codes. These codes are used in risk adjustment models to ensure accurate reimbursement for healthcare providers, especially under Medicare Advantage plans. Remote HCC Coders analyze patient documentation to ensure diagnoses are captured correctly, helping healthcare organizations comply with regulations and optimize revenue. Strong attention to detail and knowledge of medical terminology, coding systems, and compliance guidelines are essential for this role.

What are the key skills and qualifications needed to thrive as a Remote HCC Coder, and why are they important?

To thrive as a Remote HCC Coder, you need a strong understanding of medical coding, risk adjustment, and healthcare regulations, typically backed by a relevant certification such as CPC, CRC, or CCS. Proficiency with coding software, electronic health records (EHRs), and data management systems is essential. Attention to detail, time management, and independent problem-solving are critical soft skills for working remotely and ensuring coding accuracy. These competencies help ensure compliant, accurate risk adjustment coding that impacts reimbursement and quality of care.

What is the difference between Remote Hcc Coders vs Remote Medical Coders?

AspectRemote Hcc CodersRemote Medical Coders
CertificationsHCC Coding Certification, CPC or CCSCPC, CCS, or other medical coding certifications
Work EnvironmentRemote, healthcare insurance companies, risk adjustmentRemote, hospitals, clinics, healthcare facilities
Industry UsageHealth plans, Medicare Advantage, risk adjustmentHospitals, physician offices, clinics
Job FocusRisk adjustment, HCC coding for insuranceMedical record coding for billing and documentation

Remote Hcc Coders primarily focus on risk adjustment coding for health insurance plans, especially Medicare Advantage, requiring specific certifications like HCC coding. Remote Medical Coders have a broader scope, working in hospitals or clinics to code medical records for billing purposes. While both roles involve medical coding and remote work, their industry focus and certifications differ, making them distinct career paths within healthcare coding.

How to Become a Remote HCC Coder

The primary qualifications for becoming a remote HCC coder include national certification as a medical coder and some experience with HCC record abstraction. Employers require applicants to be knowledgeable about medical terminology and able to read and understand medical records. Fulfilling the responsibilities and duties of a remote HCC coder requires organizational, time-management, and interpersonal skills, as well as the ability to work in a fast-paced environment. Most employers also insist on certain accuracy levels—typically 95% or higher—and may ask you to take a test before they hire you. Experience is helpful in this industry, so the more time you spend in medical coding, ideally in an office position at first, the better.

What are some common challenges Remote HCC Coders face when working from home, and how can they overcome them?

Remote HCC Coders often encounter challenges such as maintaining consistent communication with healthcare teams, staying updated on frequent coding guideline changes, and managing distractions at home. To overcome these, coders should establish a dedicated workspace, use collaboration tools to keep in touch with colleagues, and regularly participate in training or webinars to stay current. Proactively seeking feedback and clarifications also helps ensure coding accuracy and compliance, which is vital in this role.
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Remote Hcc Coders jobs near you
Risk Adjustment Medical Record Coder-2

Risk Adjustment Medical Record Coder-2

BlueCross BlueShield of Tennessee

Chattanooga, TN • Remote

Full-time

Posted 2 days ago

Job description

We are hiring a Risk Adjustment Medical Record Coder at BCBST!

In this role, you will support accurate and compliant coding practices by performing first-pass reviews of member medical records to identify and capture active conditions that map to risk values. You'll play an important role in ensuring documentation accuracy while contributing to overall quality and compliance within the Risk Adjustment & Quality Division.

You will contribute to team success by working collaboratively in a remote environment, engaging in team chats, and supporting peers as needed. Your proactive mindset and commitment to continuous learning will help you stay current in an evolving healthcare landscape while strengthening overall team capability.

To be successful in this position, you'll bring strong attention to detail, coding expertise, and the ability to work independently. Ideal candidates will have experience in HCC (Hierarchical Condition Category) coding, particularly within Medicare Advantage, ACA programs, and Medicaid programs.

We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work-guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to enhance accuracy, efficiency, and outcomes.

Note:
This is a remote, day-shift position working standard shift hours; 8am-5pm ET
Candidates should be comfortable working independently while maintaining strong engagement with the team

Job Responsibilities

  • Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
  • Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
  • Assist with the intake and quality assurance of medical records as necessary.
  • Perform or participate in special projects as directed by management.
  • ICD-10 Coding assessment is required.

Job Qualifications

Education

  • Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.

Experience

  • 1 year - Progressive medical coding and health care experience required.

Skills\Certifications

  • Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).
  • Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
  • Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
  • Must be a team player, be organized and have the ability to handle multiple projects.
  • Excellent oral and written communication skills.
  • Strong interpersonal and organizational skills.
  • Understanding of ICD-10 coding standards required.

Number of Openings Available

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

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