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Remote Hcc Risk Adjustment Coder Jobs in Baltimore, MD

HealthCare Resolution Services

Medical Coder

Columbia, MD · Remote

$19.25 - $25.50/hr

As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding ... Understanding of the CMS guidelines for risk adjustment models and reimbursement policies.

RELI Group

Medical Coder

Baltimore, MD · 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 ...

RELI Group Inc.

Medical Coder

Baltimore, MD · 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 ...

RELI Group

Senior Medical Coder

Baltimore, MD · 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 ...

RELI Group Inc.

Senior Medical Coder

Baltimore, MD · 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 ...

NinjaOne

Manager, Software Engineering

Baltimore, MD · On-site +1

Location - We are flexible on remote working from home, if you are located in the USA and reside in ... Provide subject matter expertise in code reviews, integration, and deployment events. Lead the ...

NinjaOne

Manager, Software Engineering

Baltimore, MD · On-site +1

Location - We are flexible on remote working from home, if you are located in the USA and reside in ... Provide subject matter expertise in code reviews, integration, and deployment events. Lead the ...

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Remote Hcc Risk Adjustment Coder information

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

As of Jul 26, 2026, the average hourly pay for remote hcc risk adjustment coder in Baltimore, MD is $22.28, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $23.89 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.
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Remote Hcc Risk Adjustment Coder jobs near you

HCC Coding Validation Specialists

Careers - Healthcare Resolution Services

Columbia, MD • Remote

Contractor

Posted 19 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

Apply