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Remote Hcc Risk Adjustment Coder Jobs in Frisco, TX

Wiser

Junior Geospatial Technician (Remote)

Denton, TX · On-site +1

$16.50/hr

... risk and strong performance experience of an established GEOINT and Geospatial service provider ... Tasks include extraction, adjustment, or representation to meet specification or requirements of ...

UnitedHealth Group

Senior Coding Educator

Dallas, TX · Remote

$27 - $30.75/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... improving risk management, quality and revenue growth. Ready to help us deliver results that ...

Wiser

Junior Geospatial Technician (Remote)

Denton, TX · Remote

$16.50/hr

... risk and strong performance experience of an established GEOINT and Geospatial service provider ... extraction, adjustment, or representation to meet specification or requirements of our ...

RELX

Senior Site Reliability Engineer II

Dallas, TX · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

RELX

Senior Site Reliability Engineer II

Allen, TX · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

Corvel

Bill Review Analyst I

Dallas, TX · Remote

$13.38 - $23.42/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for auditing ... Knowledge of CPT/ICD/HCPS coding * Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred

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

As of Aug 20, 2026, the average hourly pay for remote hcc risk adjustment coder in Frisco, TX is $20.99, according to ZipRecruiter salary data. Most workers in this role earn between $16.88 and $22.50 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

Coding Specialist III - Inpatient

UT Southwestern Medical Center

Dallas, TX • Remote

Per diem

Re-posted 24 days ago

UT Southwestern rating

7.9

Company rating: 7.9 out of 10

Based on 152 frontline employees who took The Breakroom Quiz

107th of 889 rated healthcare providers

Job description

JOB SUMMARY
The Coding Specialist III is responsible to review and code inpatient and outpatient University of Texas Southwestern Medical Center (UTSW) medical records. The UTSW medical records are maintained in electronic format and will be coded according to current coding guidelines, and in compliance with organizational, departmental, and regulatory requirements. The Coding Specialist III is identified as the highest level coding subject matter expert due to education, training, and experience and as such will receive coding assignments in accordance with that level of expertise. Additionally, the Coding Specialist III may be asked to mentor and proctor employees at the Coding Specialist I and II levels.
 
ESSENTIAL FUNCTIONS
 

Job Duties

  • Responsible for coding concurrent or retrospective inpatient accounts using ICD-10 CM/PCS, in compliance with the Official Coding Guidelines and conventions.
  • Accurately identifies most appropriate Admit Diagnosis, Principal Diagnosis, and Procedure for the DRG, and all secondary diagnoses to accurately reflect all CC/MCC's, POA status, and Severity of Illness and Risk of Mortality.
  • Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), and other designated data.
  • a) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Completes review and final coding when query and/or documentation is available.
  • Maintain the Quality Standards set by UTSW/HIM Coding.
  • Maintain the Productivity Standards set by UTSW/HIM Coding.
  • Mentor/train on designated coding service lines as requested to ensure quality.
  • Maintains an expert level of knowledge of coding related guidelines and practices.
  • Other duties as assigned
 
QUALIFICATIONS
Education and Experience
Required
  • Experience
    3 years to 5 years acute hospital based coding experience.
    Experience working in a remote environment required for PRN Coders.
    An equivalent combination of education and experience may be considered.
     
  • Licenses and Certifications
    (RHIA) REGD HEALTH INFO ADMINIST Upon Hire or
    (RHIT) REGD HEALTH INFO TECHNOLO Upon Hire or
    (CCS) CERT CODING SPECIALIST Upon Hire
     
Preferred
  • Education
    Associate's Degree in Health Information Management and/or closely related field or
    Bachelor's Degree in Health Information Management and/or closely related field
     
  • Experience
    Experience working in a remote environment preferred.
     

Knowledge, Skills and Abilities

  • Work requires ability to comprehend, understand, and follow established policies, procedures, and other guidelines of some complexity.
  • Work requires ability to handle multiple tasks, show initiative, and adjust to changes as appropriate under a stressful environment.
  • Work requires ability to perform in a conservative, fast-paced, and quality driven environment.
  • Work requires ability to report and problem solve using discretion, judgment, and professionalism.
  • Work requires excellent customer service, interpersonal, and communication skills (verbal and written).
  • Work requires organizational skills along with a high level of accuracy and attention to detail.
  • Work requires self-motivation, maturity, and being a team player.
  • Work requires strong analytical and critical thinking skills.
PHYSICAL DEMANDS/WORKING CONDITIONS
  • Physical Demands
    Talking
     
  • Working Conditions
    Office Setting
     
PACT STATEMENT
  • P-Problem Solving: Employees take ownership in solving problems effectively, efficiently, and to the satisfaction of customers, or managers. They show initiative in addressing areas of concern before they become problems.
  • A-Ability, Attitude and Accountability: Employees exhibit ability to perform their job and conduct themselves in a professional and positive manner reflecting a professional environment readily assuming obligations in a dependable and reliable manner.
  • C-Communication, Contribution, and Collaboration: Who are our Customers? Anyone who requests our help, needs our work product, or receives our services. Employees focus on customer service with creative solutions while improving the customer experience through clear, courteous, and timely delivery and communication. Sharing ideas with others helps expand our contribution to department goals.
  • T-Teamwork: Employees work to contribute to the department's success by supporting co-workers, promoting excellence in work product and customer service, and in maintaining a satisfying, caring environment for each other.
 
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
 
EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

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