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Remote Hcc Risk Adjustment Jobs (NOW HIRING)

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

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 ...

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy ... Ability to work in a remote team environment while also being a strong individual contributor.

Remote Certified Coder

$23 - $31.50/hr

CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by ...

Job Type Full-time Description This is a flexible CMS HCC/Risk Validation Audit role for a seasonal ... Minimum 5 years verifiable risk adjustment coding experience post certification * Must be able to ...

Remote Certified Coder

$23 - $31.50/hr

CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by ...

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Remote Certified Coder

Atlantic City, NJ · On-site +1

$22.50 - $31/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

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 documentation ...

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

HCC risk adjustment documentation experience Perks & pay * Pay: $600-$720 daily earning potential * 1099 contractor flexibility * Fully remote work from home * Consistent visit flow and structured ...

HCC risk adjustment documentation experience Perks & pay * Pay: $600-$720 daily earning potential * 1099 contractor flexibility * Fully remote work from home * Consistent visit flow and structured ...

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Showing results 1-20

Remote Hcc Risk Adjustment information

What is the difference between Remote Hcc Risk Adjustment vs Remote Medical Coder?

AspectRemote Hcc Risk AdjustmentRemote Medical Coder
CertificationsHCC Certification, CPC or CCSCPC, CCS, or RHIT
Work EnvironmentHealthcare insurance, risk adjustment teamsMedical facilities, billing departments
Industry UsageHealth plans, Medicare/MedicaidHospitals, clinics, billing companies

Remote Hcc Risk Adjustment specialists focus on analyzing patient data to optimize risk scores for insurance purposes, while Remote Medical Coders translate medical records into billing codes. Both roles require healthcare certifications and involve remote work, but they serve different functions within the healthcare industry.

More about Remote Hcc Risk Adjustment jobs
What cities are hiring for Remote Hcc Risk Adjustment jobs? Cities with the most Remote Hcc Risk Adjustment job openings:
What are the most commonly searched types of Hcc Risk Adjustment jobs? The most popular types of Hcc Risk Adjustment jobs are:
What states have the most Remote Hcc Risk Adjustment jobs? States with the most job openings for Remote Hcc Risk Adjustment jobs include:
Infographic showing various Remote Hcc Risk Adjustment job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 19 days ago


Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs

Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.


Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.

Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation

 

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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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