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Remote Hcc Coding Jobs in New York (NOW HIRING)

Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs. * Evaluate AI-generated HCC coding assignments ...

Remote Role Responsibilities * Lead clinical documentation integrity programs for inpatient and ... Collaborate with coding, compliance, and clinical teams. Address documentation gaps and improve ...

Lead Audit Specialist - Remote

New York, NY · On-site +1

$77K - $149K/yr

... HCC validation, Demographic and Enrollment (D&E) validation and Pharmacy Claims ("RXC") validation ... and reducing coding errors; manage efforts to enhance RADV audit coordination workflows.

Remote Hcc Coding information

See New York salary details

$18

$23

$26

How much do remote hcc coding jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote hcc coding in New York is $23.52, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $25.00 per hour, depending on experience, location, and employer.

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

AspectRemote Hcc CodingRemote Medical Coding
CertificationsCCS, CPC, RHIT, RHIACPC, CCS, RHIT, RHIA
Work EnvironmentHome-based, healthcare facilities, insurance companiesHome-based, hospitals, clinics, insurance companies
Industry UsageInsurance, risk adjustment, value-based careHospitals, physician offices, insurance

Remote Hcc Coding focuses on risk adjustment and hierarchical condition categories, often requiring specific certifications like CCS or CPC. Remote Medical Coding covers a broader range of medical billing and coding tasks across various healthcare settings. While both roles are remote and require coding certifications, Hcc Coding emphasizes risk adjustment coding for insurance and healthcare analytics, whereas Medical Coding encompasses general medical billing and coding duties.

How do Remote HCC Coders typically interact with healthcare providers and ensure accurate documentation while working off-site?

Remote HCC Coders frequently collaborate with healthcare providers and clinical staff through secure digital communication channels such as email, electronic health record (EHR) messaging, and scheduled video calls. Maintaining clear communication is essential for clarifying documentation or diagnosis discrepancies. Coders also participate in virtual team meetings and may conduct provider education sessions to support accurate risk adjustment coding. This collaborative approach helps ensure coding accuracy and compliance, even when working remotely.

What is remote HCC coding?

Remote HCC coding is the process of assigning Hierarchical Condition Category (HCC) codes to patient diagnoses and medical records while working from a location outside of a traditional healthcare office or hospital, such as from home. HCC coding is essential for risk adjustment in Medicare Advantage and other value-based care programs, as it helps determine reimbursement rates based on patient complexity. Remote HCC coders use electronic health records and specialized software to review documentation and ensure accurate code assignment. This job typically requires certification, strong attention to detail, and knowledge of medical terminology and coding guidelines.

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 solid understanding of ICD-10-CM coding guidelines, risk adjustment methodologies, and a relevant certification such as CPC, CCS, or CRC. Familiarity with electronic medical record (EMR) systems, coding software, and secure communication platforms is typically required. Attention to detail, time management, and strong analytical skills are vital soft skills for accurate coding and meeting productivity targets. These competencies are essential to ensure precise documentation, compliance, and optimal reimbursement in a remote healthcare environment.
What cities in New York are hiring for Remote Hcc Coding jobs? Cities in New York with the most Remote Hcc Coding job openings:
HCC Coding Leader - Risk Adjustment

HCC Coding Leader - Risk Adjustment

Mercor

New York, NY • Remote

$110/hr

Full-time

Posted 13 days ago


Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Risk-adjustment / HCC coding leader
Type: Contract
Compensation: $110/hour
Location: Remote

Role Responsibilities

  • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
  • Manage RADV audit preparation and response processes.
  • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.

Qualifications

Must-Have

  • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role.
  • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
  • Experience with RADV audit preparation and CMS compliance requirements.
  • Familiarity with RAPS and EDGE submission processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.

Preferred

  • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
  • Experience with risk adjustment analytics platforms and chart retrieval systems.
  • Background in health plan, Medicare Advantage organisation, or value-based care setting.
  • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
  • Experience presenting risk adjustment performance to actuarial or executive teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.