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Remote Optum Hcc Coding Jobs in Basking Ridge, NJ

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs. * Evaluate AI-generated HCC coding assignments ...

Insight Global

Inpatient Medical Coder

Morristown, NJ · Remote

$26 - $33/hr

This position is 100% remote and part of the clients centralized Inpatient coding team. Candidate ... Experience with EPIC, Optum AS (inpatient coding program) * 3-5 years working experience as ...

PF Concepts

Professional Fee Coder

Fairfield, NJ · Remote

$29 - $35/hr

... fee coding experience Location: Remote Job Summary: The Professional Fee Coder (ProFee) is ... Proficiency with EHR and encoder/coding tools (e.g., Epic, Cerner, 3M, Optum) and Microsoft Office.

Mercor

CDI Leader - Clinical Documentation

New York, NY · Remote

$84/hr

Remote Role Responsibilities * Lead clinical documentation integrity programs for inpatient and ... Collaborate with coding, compliance, and clinical teams. Address documentation gaps and improve ...

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How much do remote optum hcc coding jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for remote optum hcc coding in Basking Ridge, NJ is $22.16, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $23.56 per hour, depending on experience, location, and employer.
Remote Optum Hcc Coding jobs near you
Infographic showing various Remote Optum Hcc Coding job openings in Basking Ridge, NJ as of June 2026, with employment types broken down into 4% As Needed, 91% Full Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $46,090 per year, or $22.2 per hour.

HCC Coding Leader - Risk Adjustment

Mercor

New York, NY • Remote

$110/hr

Full-time

Re-posted 3 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Risk-adjustment / HCC coding leader
Type: Contract
Compensation: $110/hour
Location: Remote

Role Responsibilities

  • Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and ACA risk adjustment programs.
  • Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance.
  • Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation.
  • Conduct and oversee retrospective and prospective chart reviews for risk score optimization.
  • Manage RADV audit preparation and response processes.
  • Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes.

Qualifications

Must-Have

  • 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role.
  • Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment.
  • Experience with RADV audit preparation and CMS compliance requirements.
  • Familiarity with RAPS and EDGE submission processes.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs.

Preferred

  • CRC (Certified Risk Coder), CCS, CPC, or RHIA credential.
  • Experience with risk adjustment analytics platforms and chart retrieval systems.
  • Background in health plan, Medicare Advantage organisation, or value-based care setting.
  • Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content.
  • Experience presenting risk adjustment performance to actuarial or executive teams.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.