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Remote Hcc Risk Adjustment Jobs in New Jersey (NOW HIRING)

Altegra Health

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Altegra Health

Remote Certified Coder

Atlantic City, NJ · On-site +1

$22.50 - $31/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more These are a remote/home based temporary positions forecast to run through the ...

Ennoble Care

Sr. Medical Economics Analyst

Marlton, NJ · Remote

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models ... Fully Remote (with up to 10% travel) This position requires the ability to work with sensitive ...

Astrana Health, Inc.

$160K - $170K/yr

Experience in Medicare Risk Adjustment analytics, HCC/RAF gap analysis, encounter data, or revenue optimization programs * Demonstrated healthcare payer analytics leadership with clear examples of ...

Stanford Health Care

... risk adjustment methodologies. * Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. * Evaluating medical records to verify that ...

Monogram Health

Market Physician Executive

Newark, NJ · Remote

This position will be remote within the designated market with occasional in-home patient treatment ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Monogram Health

Market Physician Executive

Trenton, NJ · Remote

This position will be remote within the designated market with occasional in-home patient treatment ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

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Remote Hcc Risk Adjustment information

What is the difference between Remote Hcc Risk Adjustment vs Remote Medical Coder?

AspectRemote Hcc Risk AdjustmentRemote Medical Coder
CertificationsHCC Certification, CPC or CCSCPC, CCS, or RHIT
Work EnvironmentHealthcare insurance, risk adjustment teamsMedical facilities, billing departments
Industry UsageHealth plans, Medicare/MedicaidHospitals, clinics, billing companies

Remote Hcc Risk Adjustment specialists focus on analyzing patient data to optimize risk scores for insurance purposes, while Remote Medical Coders translate medical records into billing codes. Both roles require healthcare certifications and involve remote work, but they serve different functions within the healthcare industry.

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

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Remote Hcc Risk Adjustment jobs near you
Infographic showing various Remote Hcc Risk Adjustment job openings in New Jersey as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 9% Part Time, 2% Temporary, and 3% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.

Remote Certified Coder

Atlantic City, NJ • Remote

Altegra Health
Health Care and Social Assistance • 1 - 5K employees
Learn more about Altegra Healthexternal

$22.50 - $31/hr

Temporary

Re-posted 3 hours ago

Job description

Company Description

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:

1. CMS HCC Risk Adjustment

2. HEDIS

3. Medical Record Reviews (Accreditation)

4. And more


Job Description

These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).


Responsibilities:  

Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC group assignments as applicable.

Assign Altegra Health Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.

Remain current on medical coding guidelines and reimbursement reporting requirements.

Check chart assignments every day and report accurately all hours worked on a weekly basis.

Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. Manager of Clinical Operations. 

Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.

Comply with HIPAA laws and regulations.

Participate in testing and training as required by the Company.

Qualifications:  

Active nursing license (RN or LPN) and/or certified coder certification through AHIMA or AAPC required

At least one years' experience as a medical coder/abstractor.

Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred);

Ability to code using an ICD-9-CM code book (without using an encoder);

Strong clinical skills related to chronic illness diagnosis, treatment and management;

Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts);

Personal discipline to work remotely without direct supervision;

Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model(HCCx < or equal to 5 and HCCm < or equal to 5);

Computer proficiency (including MS Windows, MS Office, and the Internet);

Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better;

Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;

Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.


Qualifications

1 year certified remote coding experience

Additional Information

All your information will be kept confidential according to EEO guidelines.

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