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Remote Hcc Risk Adjustment Coder Jobs in Pennsylvania

Strong knowledge of outpatient CDI, ICD-10-CM coding, HCC risk adjustment, quality risk ... Remote Travel: May include up to 10% Relocation Assistance: Not authorized Must be legally ...

... remote role! Candidate must live in CST or EST. DaVita is seeking a full-time Nurse Practitioner ... Experience with Medicare Advantage risk adjustment, documentation, coding, and Health Risk ...

... adjustments. * Oversee reserving practices, claim strategies, and root-cause assessments. Risk ... Remote Work Qualifications * Access to a reliable and secure high-speed internet connection. Cable ...

... coding practices, quality measures, risk adjustment, reimbursement optimization, regulatory ... Work Location - Remote Travel - upto 50% Relocation Assistance - Not Authorized Work Authorization ...

... coding practices, quality measures, risk adjustment, reimbursement optimization, regulatory ... Work Location - Remote Travel - upto 50% Relocation Assistance - Not Authorized Work Authorization ...

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Remote Hcc Risk Adjustment Coder information

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$14

$20

$32

How much do remote hcc risk adjustment coder jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for remote hcc risk adjustment coder in Pennsylvania is $20.38, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $21.73 per hour, depending on experience, location, and employer.

What is a Remote HCC Risk Adjustment Coder?

A Remote HCC Risk Adjustment Coder is a medical coding professional who works from home or another remote location, reviewing patient medical records to assign Hierarchical Condition Category (HCC) codes. These codes are used by healthcare organizations to accurately reflect the severity of patient illnesses for risk adjustment and reimbursement purposes, especially in Medicare Advantage programs. The coder analyzes clinical documentation to ensure that diagnoses are coded correctly and in compliance with regulatory guidelines. Their work is essential for ensuring healthcare providers receive appropriate compensation and for maintaining accurate patient risk profiles.

What are the key skills and qualifications needed to thrive as a remote HCC risk adjustment coder?

To thrive as a Remote HCC Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment models, and extensive experience in medical record review, typically supported by a relevant coding certification such as CPC or CRC. Proficiency with electronic health record (EHR) systems, coding software, and risk adjustment platforms is essential. Exceptional attention to detail, analytical thinking, and strong communication skills help coders excel in remote settings and ensure coding accuracy. These skills and qualifications are vital for optimizing risk scores, ensuring compliance, and supporting accurate reimbursement in healthcare organizations.

What are some common challenges faced by remote HCC risk adjustment coders and how can they be managed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting incomplete or ambiguous medical documentation, staying updated with evolving coding guidelines, and managing communication across dispersed teams. To address these challenges, it's important to proactively seek clarification from providers, participate in ongoing training, and utilize collaboration tools to stay connected with peers and supervisors. Establishing a structured daily workflow and leveraging available resources can also help maintain coding accuracy and productivity in a remote setting.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Pennsylvania?

The most popular types of Hcc Risk Adjustment Coder jobs in Pennsylvania are:

What are popular job titles related to Remote Hcc Risk Adjustment Coder jobs in Pennsylvania?

For Remote Hcc Risk Adjustment Coder jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Remote Hcc Risk Adjustment Coder jobs in Pennsylvania look for?

The top searched job categories for Remote Hcc Risk Adjustment Coder jobs in Pennsylvania are:

What cities in Pennsylvania are hiring for Remote Hcc Risk Adjustment Coder jobs?

Cities in Pennsylvania with the most Remote Hcc Risk Adjustment Coder job openings:

Risk Adjustment Provider Educator

Indiana, PA • Remote

Millennium Physician Group
Health Care and Social Assistance • 1 - 5K employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Millennium Physician Group rating

6.3

Company rating: 6.3 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

672nd of 898 rated healthcare providers


Job description

Job Description Summary

The Risk Adjustment Provider Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. This role will provide analytical interpretation of Risk Adjustment data to determine areas of focus and improvement opportunities. In addition, this role will facilitate and provide detailed analysis, reporting, training, education, and support to Providers and staff to promote accurate clinical documentation along with HCC opportunities identified via performed analysis.

How will you make an impact & Requirements

Position is a hybrid role; work is remote with some travel to physician offices in the region. We are looking for 3 Educators to cover 3 different regions:

  • Central Region: Beech Grove, Camby, Carmel, Columbus, Greenwood, Indianapolis, Mooresville, & Plainfield

  • West Region: Brook, Crawfordsville, Lafayette, Rensselaer, West Lafayette, & Wheatfield

  • North Region: Cedar Lake, Chesterton, Crown Point, Dyer, Hammond, LaPorte, Lowell, Michigan City, Munster, Schererville, St. John, Valparaiso, & Winfield

Responsibilities
Transforms raw data into actionable intelligence to prioritize provider education and risk adjustment initiatives.
Possesses a proven ability to analyze, report, and provide data insights.
Identifies documentation and coding improvement opportunities and gives guidance around best practice strategies in risk adjustment performance.
Analyzes provider coding patterns and performs follow-up audits post-education to track documentation and coding improvement.
Demonstrates knowledge and an ability to apply coding policies and guidelines to the provider documentation review process.
Possesses excellent attention to detail.
Stays current on applicable documentation guideline changes and rules.
Works effectively and efficiently within a team environment.
Adaptable to shifting priorities and demonstrates a willingness to do what it takes to meet team needs.
Understands and complies with policies and procedures for confidentiality of all patient records, HIPAA, and security of systems.
Promotes Millennium Physician Group's values.
Build relationships with the clinical and clerical teams to ensure open communication for questions concerning the Risk Adjustment program and its components
Demonstrate excellent guest service to internal team members and patients.
Perform other related duties as assigned.

Qualifications
Bachelor's Degree or equivalent work experience.
2+ years of experience in training program design and development
2+ years of experience in risk adjustment and ICD-10 coding in the Medicare Risk Adjustment
environment
Certified Risk Adjustment Coder (CRC) or similar.
Possess strong critical thinking and analytical skills and an extensive, in-depth knowledge of the HCC
Risk Adjustment models.
Proven ability to analyze data, present results effectively through provider education, and monitor the
effectiveness of the education provided.
Strong communication skills.
Intermediate Excel skills (Pivot tables, VLOOKUP, Advanced formulas, etc.) and data visualization skills.
Intermediate Microsoft PowerPoint skills with the ability to transform analytical output into simpleto-
understand visuals.
In-depth knowledge of ICD-10-CM diagnostic coding.
Must have excellent time management skills, be highly organized, self-motivated.
Excellent customer service, problem-solving skills, and attention to detail.
The ability to follow through timely on tasks is essential.
Possess excellent written, verbal, and interpersonal communication skills.
Must possess initiative; tact; poise; neat personal appearance; and physical condition commensurate
with the requirements of the position.
Project management of multiple initiatives with the ability to prioritize and meet deadlines.
Ability to work independently in a fast-paced, cross-functional environment.

Benefits:

  • 3 weeks PTO & 8 paid holidays

  • Medical, Dental, Vision

  • Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)

  • 401(k) with match

  • Employee Wellness

  • Other Employee Discount programs like Tickets at Work and cell phone discounts

  • Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

Why Millennium?

Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.

Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.

If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice.

Compensation Range:

$77,417.00

to

$116,126.00

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.


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