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Remote Hcc Risk Adjustment Coder Jobs in Bronx, NY

EmblemHealth

Staff Actuary - Medicare

New York, NY · On-site +1

REMOTE Summary: * Provide the analytical resources necessary for the development of overall pricing ... Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs ...

Northwell

Senior Coder

Lake Success, NY · Remote

$66K - $108K/yr

** Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm** Performs coding and ... risk of mortality (if applicable), as documented in the medical record. * Codes and reports ...

Northwell

Senior Coder

Lake Success, NY · Remote

$66K - $108K/yr

** Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm** Performs coding and ... risk of mortality (if applicable), as documented in the medical record. * Codes and reports ...

Northwell Health

Senior Coder

Lake Success, NY · Remote

$24.25 - $32.25/hr

** Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm** Performs coding and ... risk of mortality (if applicable), as documented in the medical record. * Codes and reports ...

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Remote Hcc Risk Adjustment Coder information

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$35

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

As of Sep 11, 2026, the average hourly pay for remote hcc risk adjustment coder in Bronx, NY is $23.36, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $25.05 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.

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Remote Hcc Risk Adjustment Coder jobs near you

REMOTE Medical Coding & Risk Adjustment Specialist

Newark, NJ • Remote

LHH US
Human Resource Programs Administration • 10K+ employees
Learn more about LHH USexternal

$35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Location: Remote
Pay Rate: up to $35.00 per hour
Employment Type: Contract
Must Come From: - NY NJ CT PA or MD
Position Overview
We are seeking an experienced Medical Coding & Risk Adjustment Specialist to support risk adjustment initiatives across Medicare, Medicaid, and Commercial lines of business. This role is responsible for reviewing and analyzing medical record documentation to ensure accurate diagnosis coding, proper documentation practices, and Hierarchical Condition Category (HCC) abstraction.
The ideal candidate will have a strong background in medical coding, chart auditing, and risk adjustment methodologies, with expertise in ICD-10, CPT, and HCPCS coding standards. This individual will play a key role in supporting Risk Adjustment Data Validation (RADV) audits, Annual Commercial (ACA) reviews, and ongoing coding accuracy initiatives.
Key Responsibilities
  • Review and analyze medical records to ensure documentation completeness, accuracy, and compliance with coding guidelines and regulatory requirements.
  • Abstract and validate Hierarchical Condition Categories (HCCs) using ICD-9/ICD-10 coding guidelines.
  • Translate and interpret CPT, HCPCS, ICD-9, and ICD-10 codes for risk adjustment and coding review purposes.
  • Identify, compile, and code member and patient information utilizing established coding classification systems.
  • Support Medicare Advantage, Medicaid, and Commercial Risk Adjustment programs and annual RADV audit activities.
  • Assist in the collection, review, and distribution of coding and documentation improvement tools.
  • Serve as a coding resource and subject matter expert for internal stakeholders.
  • Participate in process improvement initiatives and coding quality programs.
  • Maintain department productivity, quality, and accuracy standards.
  • Stay current on coding regulations, risk adjustment methodologies, and industry best practices.
Qualifications
Required:
  • Current RHIT (Registered Health Information Technician) certification OR
  • Certified Professional Coder (CPC) certification through AAPC OR
  • Certified Coding Specialist (CCS) certification through AHIMA
  • 2-5 years of medical coding experience.
  • At least 2 years of experience in health insurance chart audits, quality reviews, utilization review, or risk adjustment auditing.
  • Strong working knowledge of:
    • ICD-9 and ICD-10 coding
    • CPT-4 coding
    • HCPCS coding
    • HCC risk adjustment methodologies
  • Proficiency with Microsoft Office applications, including Word and Excel.
Preferred:
  • Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.
  • Experience supporting Medicare Advantage, Medicaid, ACA, or Commercial Risk Adjustment programs.
Knowledge, Skills & Abilities
  • Strong understanding of medical terminology, healthcare procedures, abbreviations, and coding regulations.
  • Knowledge of healthcare delivery systems and insurance-related processes.
  • Excellent analytical and problem-solving skills.
  • Ability to work independently in a remote environment while collaborating effectively with a team.
  • Strong written and verbal communication skills.
  • Ability to ask probing questions, investigate discrepancies, and gather thorough documentation.
  • Demonstrated professionalism, ethical business practices, and commitment to continuous learning and development.
Pay Details: $28.00 to $35.00 per hour
Search managed by: Tracy Galarza
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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About LHH

Sourced by ZipRecruiter

LHH Recruitment Solutions is a division of the Adecco Group, the world's leading HR Solutions provider and the 7th best workplace in the world. We are an industry leader in temporary and permanent recruitment within accounting and finance. We work with premier clients, from small businesses to Global Fortune 500 companies, and we know that every opening is more than a job, and that every candidate is more than a resume. We work closely with candidates to understand their needs and apply our industry expertise to make matches for clients that drive business results. Our ability to dynamically balance your needs with the right Solutions gives clients and candidates the right fit to succeed. We are an evolving organization and take pride in a culture of trust, where we celebrate diversity, equality and inclusion. We always put our people first, drive a growth mindset and foster a collective spirit. We understand that talent and potential come from every section of society, regardless of gender, race, age, or physical ability. At the Adecco Group, we are committed to making the future work for everyone!

Industry

Human resource programs administration

Company size

10,000+ Employees

Headquarters location

Jacksonville, FL, US

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