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Remote Hcc Risk Adjustment Coder Jobs in South Carolina

Corvel

Account Executive II

Columbia, SC · Remote

$70K - $116K/yr

This is a remote role. Candidate must live in the North Carolina or South Carolina Territory ... The level may impact the salary range and these adjustments would be clarified during the offer ...

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Remote Hcc Risk Adjustment Coder information

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$14

$19

$31

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

As of Jul 30, 2026, the average hourly pay for remote hcc risk adjustment coder in South Carolina is $19.86, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $21.15 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote HCC Risk Adjustment Coder, and why are they important?

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 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 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 South Carolina? The most popular types of Hcc Risk Adjustment Coder jobs in South Carolina are:
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What job categories do people searching Remote Hcc Risk Adjustment Coder jobs in South Carolina look for? The top searched job categories for Remote Hcc Risk Adjustment Coder jobs in South Carolina are:
What cities in South Carolina are hiring for Remote Hcc Risk Adjustment Coder jobs? Cities in South Carolina with the most Remote Hcc Risk Adjustment Coder job openings:
Remote Hcc Risk Adjustment Coder jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coder job openings in South Carolina as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 13% Part Time, and 7% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $41,317 per year, or $19.9 per hour.

Risk Adjustment Coder Professional Billing II, FT, Days, - Remote

Prisma Health

Greenville, SC • On-site, Remote

Full-time

Posted 15 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 347 frontline employees who took The Breakroom Quiz

375th of 890 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
  • Conducts prospective review of charts to identify HCC opportunity.
  • Conducts retrospective review of charts to confirm documentation supports reporting.
  • Utilizes payor specific software to assist in capturing HCCs.
  • Communicates with providers about HCC opportunities for improvement.
  • Identifies suspect conditions that would potentially support reporting an HCC.
  • Participates in education offerings
  • Participates in monthly meetings
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements
  • Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
  • Experience - Five (5) years professional fee coding experience

In Lieu Of
  • NA

Required Certifications, Registrations, Licenses
  • Certified Professional Coder (CPC), and
  • Certified Risk Adjustment Coder (CRC)

Knowledge, Skills and Abilities
  • Knowledge of office equipment (fax/copier)
  • Proficient computer skills including word processing, spreadsheets, database
  • Data entry skills
  • Mathematical skills

Work Shift
Day (United States of America)
Location
Patewood Memorial Hospital
Facility
7002 Value-Based Care and Network Services
Department
70028459 HCC Coding Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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