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Remote Hcc Coding Jobs in South Carolina (NOW HIRING)

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Remote Hcc Coding information

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 skills and qualifications are needed to thrive as a remote HCC coder?

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.

How do remote HCC coders 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 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.

What are popular job titles related to Remote Hcc Coding jobs in South Carolina?

For Remote Hcc Coding jobs in South Carolina, the most frequently searched job titles are:

What job categories do people searching Remote Hcc Coding jobs in South Carolina look for?

The top searched job categories for Remote Hcc Coding jobs in South Carolina are:

What cities in South Carolina are hiring for Remote Hcc Coding jobs?

Cities in South Carolina with the most Remote Hcc Coding job openings:

Remote Hcc Coding jobs near you
Infographic showing various Remote Hcc Coding job openings in South Carolina as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 11% Part Time, 1% Temporary, and 5% Contract. Highlights an 75% Physical, 5% Hybrid, and 20% Remote job distribution.

Healthcare Administrative Specialist

KC Elite Staffing LLC

North Charleston, SC • Remote

$45 - $50/hr

Contractor

Posted 5 days ago

Job description

About the Opportunity

KC Elite Staffing is seeking experienced healthcare administrative and operations professionals for a remote contract opportunity. This is authoring and judgment-based work — not volume processing. You will draw on your real-world expertise to design realistic scenarios, build supporting documentation, and evaluate healthcare operations tasks. If you are a seasoned healthcare back-office professional who owns complex problems, this role was built for you.

Priority Areas — Hiring Immediately

We are actively seeking candidates with hands-on experience in one or more of the following:

  • Medical Coding — inpatient, outpatient, pro-fee, risk adjustment/HCC coding, coding audits
  • Prior Authorization & Utilization Management — submitting and tracking authorizations through payer portals, utilization review
  • Revenue Cycle Operations — denials and appeals, A/R follow-up, payment integrity, underpayment recovery, coordination of benefits, secondary billing

Also In Scope

  • Claims and full-cycle medical billing
  • Regulatory compliance and HIPAA privacy
  • Healthcare internal audit
  • Payer-side operations — claims adjudication, appeals and grievances, benefit configuration, provider network, utilization management
  • Clinical Documentation Integrity (CDI), DRG validation, Health Information Management
  • Revenue integrity, charge master (CDM), managed care and reimbursement analysis
  • Practice, clinic, and hospital administration
  • Director/VP of Revenue Cycle level experience welcome

Requirements

  • 3+ years of hands-on, recent experience in a healthcare administrative or back-office role
  • Currently working in a qualifying role
  • Direct experience with payer portals such as Availity, Optum/Change Healthcare, Waystar, Office Ally, or individual payer hubs
  • Familiarity with EHR/practice management platforms, encoders, computer-assisted coding tools, and/or clearinghouses
  • Ability to commit 15+ hours per week
  • Must be located in the United States
  • Must be authorized to work as an independent contractor — H1-B and STEM OPT candidates cannot be considered at this time

What Makes a Strong Candidate

We are looking for professionals who can construct and solve complex problems — not process volume. Strong candidates will have experience such as:

  • Owning an appeal or payer dispute end to end
  • Running coding or DRG audits
  • Defending a code assignment through appeal
  • Leading an EHR conversion or payer implementation
  • Writing SOPs or payer-specific workflow documentation
  • Supervising staff or sitting on a denials or audit committee
  • Experience across two or more care settings or on both the provider and payer side

Settings We Consider

Physician groups, ambulatory practices, ambulatory surgery centers, skilled nursing and long-term care, home health and hospice, behavioral health, dialysis, infusion and specialty pharmacy, retail pharmacy and PBM prior authorization, DME suppliers, FQHCs, health plans and TPAs, RCM outsourcers and clearinghouses.

Not a Fit For

Clinical care roles, front desk, patient registration, appointment scheduling, call center script-following, medical scribes, or transcription-only roles.

How to Apply

Submit your application through KC Elite Staffing. Qualified candidates will receive next steps via email within 1–2 business days.