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Remote Hcc Medical Coder Jobs in Edison, NJ (NOW HIRING)

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare ... Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported ...

Insight Global

Inpatient Medical Coder

Morristown, NJ · Remote

$26 - $33/hr

We are looking for remote Inpatient certified acute care Coder for our large healthcare client ... acute care medical coder (Cardiovascular surgeries, Major transplants, Neurovascular surgeries ...

Network ESC

Certified Medical Coders

Brooklyn, NY · Remote

$30 - $34/hr

... issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding ... Remote Must be on site for two weeks training- Candidates must be comfortable working in the ...

PF Concepts

Professional Fee Coder

Fairfield, NJ · Remote

$29 - $35/hr

Remote Job Summary: The Professional Fee Coder (ProFee) is responsible for reviewing provider ... Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve coding ...

CrewBloom

Medical Billing & Coding Specialist

New York, NY · Remote

$19.25 - $24.50/hr

CrewBloom is seeking a detail-oriented Medical Billing & Coding Specialist to support one of our US-based healthcare clients in a fully remote role. This opportunity is open exclusively to candidates ...

Advanced Medical Management

Medical Assistant

New York, NY · Remote

$21 - $23/hr

... HCC) requiring MEAT documentation • Previous hospitalizations, ER visits, or consults • Ensure ... coding and compliance. VBC Screening & Quality Support • Proactively identify patients due for ...

Mercor

HIM Coding Manager - AI Systems

New York, NY · Remote

$80/hr

Remote Role Responsibilities * Oversee professional fee and facility inpatient coding operations to ... Qualifications Must-Have * 5+ years of experience in medical coding, with at least 2 years in a ...

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Remote Hcc Medical Coder information

See Edison, NJ salary details

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How much do remote hcc medical coder jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for remote hcc medical coder in Edison, NJ is $23.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $24.90 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Hcc Medical Coder position, and why are they important?

To thrive as a Remote HCC Medical Coder, you need expert knowledge of ICD-10-CM coding, risk adjustment models, and medical terminology, typically supported by certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and secure remote work tools is essential. Strong attention to detail, self-motivation, and time management are important soft skills for excelling in a virtual, independent setting. These skills and qualities ensure accurate coding, compliance with regulations, and effective collaboration with healthcare teams while working remotely.

What is a Remote HCC Medical Coder job?

A Remote HCC Medical Coder reviews medical records to identify and assign accurate diagnosis codes based on Hierarchical Condition Category (HCC) risk adjustment models. This role ensures proper documentation and coding to support accurate reimbursement and compliance with Medicare and insurance requirements. Working remotely, coders use electronic health records (EHR) and coding software to analyze patient data. Certification such as CPC, CRC, or CCS is often required, along with a strong understanding of ICD-10-CM coding guidelines.

What are some common challenges faced by Remote HCC Medical Coders?

Remote HCC Medical Coders often encounter challenges such as interpreting complex medical records without immediate access to providers for clarification and managing productivity targets while working independently. Staying updated on rapidly changing coding guidelines and payer requirements can require ongoing education and adaptability. Successful coders use strong communication skills to resolve queries with team members and clinicians, and rely on proactive organization to meet deadlines. Maintaining data security and patient confidentiality is also especially important in a remote environment.

What are popular job titles related to Remote Hcc Medical Coder jobs in Edison, NJ? For Remote Hcc Medical Coder jobs in Edison, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Hcc Medical Coder jobs in Edison, NJ look for? The top searched job categories for Remote Hcc Medical Coder jobs in Edison, NJ are:
What cities near Edison, NJ are hiring for Remote Hcc Medical Coder jobs? Cities near Edison, NJ with the most Remote Hcc Medical Coder job openings:
Remote Hcc Medical Coder jobs near you
HCC Coding Leader - Risk Adjustment

HCC Coding Leader - Risk Adjustment

Mercor

New York, NY • Remote

$110/hr

Full-time

Posted 20 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.