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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 ...

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: Responsibilities * Reviews ...

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: Responsibilities * Reviews ...

Review clinical documentation to ensure accurate HCC capture and risk adjustment reporting ... remote position. Application Deadline This position is anticipated to close on Aug 4, 2026. About ...

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

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 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 ...

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 ...

Act as the internal authority on CMS-HCC coding updates, as well as future strategic expansion into commercial coding and state-specific Medicaid lines of business, ensuring all risk adjustment ...

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 ...

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 ...

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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 1% As Needed, 77% Full Time, 14% Part Time, and 8% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.

Remote - HCC / Risk Adjustment Medical Coders (6598)

Advantmed

Remote

$22/hr

Full-time

Posted 8 days ago


Job description

Job Title: HCC / Risk Adjustment Medical Coder
Location: Remote, US
Shift Hours: Applicant should be available to work from 6 AM to 6 PM EST.
Pay Rate: $22/hr.
Candidates must be available to commit to a minimum of 20 hours per week, Monday through Friday. Preference will be given to candidates who can commit to a full-time schedule of 40 hours per week.
Important: This position follows a Bring Your Own Device (BYOD) policy. Candidates must have a Windows-based laptop/desktop with Windows Professional Edition (Windows Pro) and a reliable high-speed internet connection. Systems running Windows Home Edition are not compatible with the security requirements for this role.
Job Summary: We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization.
Key Responsibilities:
  • Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines.
  • Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines.
  • Validate and ensure the completeness, accuracy, and integrity of coded data.
  • Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding.
  • Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding.
  • Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality.
  • Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries.
  • Participate in coding education and training programs to enhance coding skills and knowledge.
  • Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends.
  • Assist in internal and external coding audits to ensure the quality and compliance of coding practices.
  • Identify opportunities for process improvement and efficiency in the coding process.
  • Offer suggestions to enhance coding documentation and accuracy.

Requirements
Qualifications:
  • Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage. CPC-A (Apprentice) certification will not be considered for this position.
  • Minimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare setting.
  • Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
  • Familiarity with electronic health record (EHR) systems and coding software.
  • Excellent attention to detail, analytical skills, and ability to work independently.
  • Strong communication and interpersonal skills for collaboration with medical professionals and team members.
  • Understanding of compliance and confidentiality regulations, including HIPAA.