Understanding of the CMS guidelines for risk adjustment models and reimbursement policies ... Remote
Understanding of the CMS guidelines for risk adjustment models and reimbursement policies ... Remote
Medical Coder
Baltimore, MD ยท On-site +1
$45K - $55K/yr
Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...
Medical Coder
Baltimore, MD ยท On-site +1
$45K - $55K/yr
Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...
Medical Coder
Baltimore, MD ยท On-site +1
$45K - $55K/yr
Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...
Medical Coder
Baltimore, MD ยท On-site +1
$45K - $55K/yr
Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...
Senior Medical Coder
Baltimore, MD ยท On-site +1
$65K - $75K/yr
Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...
Senior Medical Coder
Baltimore, MD ยท On-site +1
$65K - $75K/yr
Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...
Senior Medical Coder
Baltimore, MD ยท On-site +1
$65K - $75K/yr
Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...
Senior Medical Coder
Baltimore, MD ยท On-site +1
$65K - $75K/yr
Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred * Experience in performing medical record coding audits including complex medical record abstraction. * Ability to work ...
Risk Adjustment Program Manager
Nottingham, MD ยท On-site +1
$73K - $125K/yr
Medical
Dental
Vision
Retirement
PTO
This role is fully remote and must be located within the 50 U.S. states. Preference for residence ... This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do ...
Risk Adjustment Program Manager
Nottingham, MD ยท On-site +1
$73K - $125K/yr
Medical
Dental
Vision
Retirement
PTO
This role is fully remote and must be located within the 50 U.S. states. Preference for residence ... This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do ...
Senior Medical Coding Specialist (Remote)
Baltimore, MD ยท Remote
Retirement
Certified Coder (CCS or CPC)-AHIMA or AAPC Experience: 5 years' experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; state or federal health care ...
Senior Medical Coding Specialist (Remote)
Baltimore, MD ยท Remote
Retirement
Certified Coder (CCS or CPC)-AHIMA or AAPC Experience: 5 years' experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; state or federal health care ...
AI Engineer
Rockville, MD ยท On-site +1
Remote/Hybrid (subject to contract requirements) Clearance: Must be eligible to obtain and maintain ... risk adjustment, and population health initiatives If interested in applying for the position ...
AI Engineer
Rockville, MD ยท On-site +1
Remote/Hybrid (subject to contract requirements) Clearance: Must be eligible to obtain and maintain ... risk adjustment, and population health initiatives If interested in applying for the position ...
Professional Coding Auditor & Educator
Silver Spring, MD ยท Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Professional Coding Auditor & Educator
Silver Spring, MD ยท Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
DRG Coder, Registered Nurse
Baltimore, MD ยท Remote
$95K - $105K/yr
DRG Coder, Registered Nurse ๐ Remote | Full-Time | ๐ฅ Healthcare | Clinical Documentation ... Apply strong clinical judgment to assess severity of illness, risk of mortality, and DRG impact.
Quick apply
DRG Coder, Registered Nurse
Baltimore, MD ยท Remote
$95K - $105K/yr
DRG Coder, Registered Nurse ๐ Remote | Full-Time | ๐ฅ Healthcare | Clinical Documentation ... Apply strong clinical judgment to assess severity of illness, risk of mortality, and DRG impact.
Professional Coding Auditor & Educator
Silver Spring, MD ยท Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Professional Coding Auditor & Educator
Silver Spring, MD ยท Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
$45 - $59.25/hr
This is a fastpaced role requiring strong clinical reasoning, risk management, and digital ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
$45 - $59.25/hr
This is a fastpaced role requiring strong clinical reasoning, risk management, and digital ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
Associate Director, Medicare Advantage Bid Strategy & Analytics
Nottingham, MD ยท On-site +1
Medical
Dental
Vision
Retirement
PTO
... code generation, and automated pipelines that turn what used to be weeks of manual work into ... Monitor CMS regulations, payment methodologies, risk adjustment updates, and Stars payment changes ...
Associate Director, Medicare Advantage Bid Strategy & Analytics
Nottingham, MD ยท On-site +1
Medical
Dental
Vision
Retirement
PTO
... code generation, and automated pipelines that turn what used to be weeks of manual work into ... Monitor CMS regulations, payment methodologies, risk adjustment updates, and Stars payment changes ...
Clinical Documentation Excellence Specialist - 3029
Baltimore, MD ยท On-site +1
$34.50 - $46.50/hr
... risk adjustment concepts in CDI reviews. * CCDS, CDIP, CDEO, or CCS certification. * Familiarity with eClinicalWorks. * Eagerness to stay informed about healthcare reform and coding regulations ...
Clinical Documentation Excellence Specialist - 3029
Baltimore, MD ยท On-site +1
$34.50 - $46.50/hr
... risk adjustment concepts in CDI reviews. * CCDS, CDIP, CDEO, or CCS certification. * Familiarity with eClinicalWorks. * Eagerness to stay informed about healthcare reform and coding regulations ...
DevSecOps Engineer - REMOTE
Bethesda, MD ยท Remote
$65K - $136K/yr
Medical
Dental
Vision
Life
Retirement
PTO
... risk management requirements. The engineer works closely with software, infrastructure, and ... Develop and maintain infrastructure as code (IaC) for AWS GovCloud, IoT gateways, and supporting ...
DevSecOps Engineer - REMOTE
Bethesda, MD ยท Remote
$65K - $136K/yr
Medical
Dental
Vision
Life
Retirement
PTO
... risk management requirements. The engineer works closely with software, infrastructure, and ... Develop and maintain infrastructure as code (IaC) for AWS GovCloud, IoT gateways, and supporting ...
Senior Product Manager - Value-Based Care & AI
Clarksville, MD ยท On-site +1
$125K - $165K/yr
You deeply understand risk adjustment, utilization management, and how risk-bearing entities ... You don't need to write the code, but you must understand GenAI architectures, RAG, and agentic ...
Senior Product Manager - Value-Based Care & AI
Clarksville, MD ยท On-site +1
$125K - $165K/yr
You deeply understand risk adjustment, utilization management, and how risk-bearing entities ... You don't need to write the code, but you must understand GenAI architectures, RAG, and agentic ...
Cybersecurity / IAM Engineer (Bethesda (REMOTE), MD, US)
Bethesda, MD ยท On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Support audit, ATO, and risk management processes, including evidence collection and remediation of ... Participate in security assessments, code reviews, and compliance audits as required by contract ...
Cybersecurity / IAM Engineer (Bethesda (REMOTE), MD, US)
Bethesda, MD ยท On-site +1
Medical
Dental
Vision
Life
Retirement
PTO
Support audit, ATO, and risk management processes, including evidence collection and remediation of ... Participate in security assessments, code reviews, and compliance audits as required by contract ...
Medical
Dental
Vision
Retirement
PTO
Collaborate with coding, payment posting, charge entry, eligibility, and client stakeholders to ... Participate in client performance calls and support recovery plans for at-risk KPIs. What we are ...
Medical
Dental
Vision
Retirement
PTO
Collaborate with coding, payment posting, charge entry, eligibility, and client stakeholders to ... Participate in client performance calls and support recovery plans for at-risk KPIs. What we are ...
Medical
Dental
Vision
Retirement
PTO
Collaborate with coding, payment posting, charge entry, eligibility, and client stakeholders to ... Participate in client performance calls and support recovery plans for at-risk KPIs. What we are ...
Medical
Dental
Vision
Retirement
PTO
Collaborate with coding, payment posting, charge entry, eligibility, and client stakeholders to ... Participate in client performance calls and support recovery plans for at-risk KPIs. What we are ...
Project Manager (Fully Remote)
Silver Spring, MD ยท On-site +1
Retirement
The ideal candidate manages milestones, budgets, risk, and quality assurance while coordinating ... adjustments, or revised workflows. * Lead regular status meetings, prepare agendas, track action ...
Project Manager (Fully Remote)
Silver Spring, MD ยท On-site +1
Retirement
The ideal candidate manages milestones, budgets, risk, and quality assurance while coordinating ... adjustments, or revised workflows. * Lead regular status meetings, prepare agendas, track action ...
Remote Hcc Risk Adjustment Coder information
See Maryland salary details
$14.94 - $16.61
1% of jobs
$17.32 is the 25th percentile. Wages below this are outliers.
$16.61 - $18.29
57% of jobs
$18.29 - $19.97
6% of jobs
$21.60 is the 75th percentile. Wages above this are outliers.
$19.97 - $21.64
11% of jobs
$21.64 - $23.32
10% of jobs
$23.32 - $25
5% of jobs
$25 - $26.67
3% of jobs
$26.67 - $28.35
2% of jobs
$28.35 - $30.02
2% of jobs
$30.02 - $31.70
1% of jobs
$31.70 - $33.38
1% of jobs
$14
$21
$33
How much do remote hcc risk adjustment coder jobs pay per hour?
What are the key skills and qualifications needed to thrive as a remote HCC risk adjustment coder?
What is a Remote HCC Risk Adjustment Coder?
What are some common challenges faced by remote HCC risk adjustment coders and how can they be managed?

Contractor
Re-posted 6 days ago
Job description
Job description:
Job Overview
We are seeking a highly skilled and detail-oriented HCC Coding Analyst to join our healthcare revenue cycle management team. The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Your expertise in ICD-9, ICD-10, CPT coding, and DRG assignment will contribute significantly to the efficiency and compliance of our billing processes. This position offers an opportunity to work within a dynamic healthcare environment dedicated to accuracy, compliance, and quality patient care.
Duties
- Review NLP-generated HCC coding output.
- Validate assigned codes against available documentation.
- Identify unsupported, inaccurate, or missing codes.
- Make corrections in the platform or designated workflow.
- Follow customer coding instructions and project guidelines.
- Complete assigned records in accordance with agreed production expectations.
- Utilize electronic health record (EHR) systems and electronic health records (EHR) management tools for coding, record abstraction, and billing workflows.
- Conduct audits of coded records to identify discrepancies and implement corrective actions to improve coding accuracy.
- Maintain up-to-date knowledge of changes in medical coding standards, CMS regulations, and healthcare policies affecting reimbursement.
- Support revenue cycle management initiatives by ensuring precise coding that maximizes appropriate reimbursements while maintaining compliance.
Requirements
- Proven experience in medical coding with a focus on HCC coding within a healthcare setting.
- Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG assignment processes.
- Familiarity with medical billing procedures, medical records management, and electronic health record (EHR) systems.
- Understanding of the CMS guidelines for risk adjustment models and reimbursement policies.
- Excellent attention to detail with the ability to accurately abstract information from complex medical records.
- Knowledge of medical terminology, anatomy, pathology, and clinical documentation practices.
- Prior experience with electronic health records (EHR) management for billing and coding is highly desirable.
- Effective communication skills for collaborating with clinicians, billing teams, and auditors.
Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!
Benefits:
- Flexible schedule
- Work Location: Remote