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Work From Home Hcc Risk Adjustment Coding Jobs (NOW HIRING)

Virtix Health LLC

HCC Coding Quality Specialist

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

All HCC/Risk Adjustment auditors MUST be certified through either the AAPC or AHIMA ... Remote Work from home (within the U.S. ONLY). You need a HIPAA compliant home office, high-speed ...

Altegra Health

Remote Certified Coder

$23 - $31.50/hr

CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are ... Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

... 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 ...

Altegra Health

Remote Certified Coder

$23 - $31.50/hr

CMS HCC Risk Adjustment * HEDIS * Medical Record Reviews (Accreditation) * And more These are ... Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes ...

Altegra Health

Remote Certified Coder

Atlantic City, NJ · Remote

$22.50 - $31/hr

... 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 ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

... 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 ...

Altegra Health

Remote Certified Coder

Atlantic City, NJ · On-site +1

$22.50 - $31/hr

... 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 ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

... 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 ...

Pathways Health Partners

HCC Risk Coder (CDIS) - Remote in FL

$19.25 - $25.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered! Our Services ... Adjustment (MRA), HCC coding documentation guidelines, rules, and regulation. 4. Two years ...

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Work From Home Hcc Risk Adjustment Coding information

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How much do work from home hcc risk adjustment coding jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for work from home hcc risk adjustment coding in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 per hour, depending on experience, location, and employer.

How to become a work from home HCC risk adjustment coder online?

To become a work-from-home HCC risk adjustment coder, you should obtain a coding certification such as CPC or CCS, gain knowledge of HCC coding guidelines, and have experience with medical coding and EHR systems. Many employers offer remote positions requiring strong attention to detail and familiarity with risk adjustment models. Completing relevant training and building a professional coding background can help you qualify for remote HCC coding roles.

What is work from home HCC risk adjustment coding?

Work from home HCC (Hierarchical Condition Category) risk adjustment coding involves reviewing medical records and assigning appropriate diagnosis codes to reflect the health status of patients for insurance and Medicare purposes. Coders ensure that all relevant conditions are accurately documented to support proper reimbursement and compliance with regulations. Working remotely allows coders to complete these tasks from home, often using secure online systems provided by their employer. This role requires a solid understanding of medical terminology, coding systems like ICD-10-CM, and risk adjustment models.

What are some common challenges faced by work from home HCC risk adjustment coders, and how can they be managed?

Work From Home HCC Risk Adjustment Coders often face challenges such as maintaining consistent productivity, managing complex medical records, and staying current with evolving coding guidelines. Without in-person supervision, it can be difficult to stay focused and avoid distractions, so setting up a dedicated workspace and sticking to a structured schedule is essential. Additionally, regular communication with team members and participating in ongoing training can help coders stay updated and collaborate effectively. Leveraging secure technology for remote access and adhering strictly to HIPAA regulations is also crucial to ensure data privacy and compliance.

What are the key skills and qualifications needed to thrive as a work from home HCC risk adjustment coder?

To thrive as a Work From Home HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, knowledge of Hierarchical Condition Categories (HCC), and typically a certification such as CPC or CRC. Familiarity with electronic medical record (EMR) systems and coding software is essential for accurate and efficient code assignment. Attention to detail, self-motivation, and strong communication skills help ensure compliance and productivity in a remote environment. These skills are crucial to ensure accurate risk adjustment coding, which impacts healthcare reimbursement and quality reporting.

What is the difference between Work From Home Hcc Risk Adjustment Coding vs Work From Home Medical Coding Specialist?

AspectWork From Home Hcc Risk Adjustment CodingWork From Home Medical Coding Specialist
CertificationsAHIMA or AAPC HCC certifications, coding credentialsCPH, CPC, or equivalent medical coding certifications
Work EnvironmentRemote, healthcare insurance industryRemote, healthcare or hospital settings
Industry UsageHealth insurance, risk adjustment programsHospitals, clinics, insurance companies
Job FocusRisk adjustment, HCC coding for Medicare/MedicaidGeneral medical coding, billing, and documentation

Work From Home Hcc Risk Adjustment Coding specialists focus on coding for risk adjustment models, primarily in insurance and Medicare programs, requiring specific HCC certifications. In contrast, Work From Home Medical Coding Specialists handle broader medical coding tasks across various healthcare settings. Both roles are remote and require coding credentials, but their industry focus and job responsibilities differ.

Is work from home HCC risk adjustment coding a good career?

Work from home HCC risk adjustment coding is a growing field that offers flexible remote work opportunities and requires knowledge of medical coding and healthcare documentation. It can provide stable employment with competitive pay, especially for those with coding certifications and experience in medical billing. However, career growth depends on ongoing education and staying current with industry regulations.
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HCC Coding Quality Specialist

Virtix Health LLC

Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Job description

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our HCC coded records, specifically those that map to HCCs and RxHCCs. Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. Global experience is beneficial.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
This is a remote position.
Location: Remote within US only
The ideal candidate will have at least 2 years of recent HCC Auditing experience in addition to 3 years of recent HCC/RA coding experience. You will be auditing the global team of Risk Adjustment coders.
All HCC/Risk Adjustment auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, CCS, or CCS-P AND have at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience preferred.
Job Summary:
  • Ensure that the codes captured are supported by the documentation within the record and are properly coded following Medicare guidelines, ICD-10-CM guidelines as well as client specific guidelines for the project.
  • Support your findings in a way the coder can easily identify and learn from the error.
  • Have strong and professional communication skills.
  • Be a resource for HCC coding team members by having a deep understanding of the project and coding guidelines.
  • Follow Risk Adjustment Data Abstraction Rules.
  • Assist with the creation of PowerPoints presentations for training purposes.
  • Will be required to maintain a quality score of 95% or higher.
  • Will be required to maintain an ongoing productivity level based on project requirements.
  • Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
  • Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program.
  • Comply with all internal policies and procedures.
  • Regular, predictable, and punctual attendance is required.

Qualifications:
  • All auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, CCS, or CCS-P.
  • Must have at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience preferred.
  • Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.

What we offer:
  • Remote Work from home (within the U.S. ONLY). You need a HIPAA compliant home office, high-speed secure internet connection, equipment will be provided.
  • Flexible scheduling after training, quality and productivity goals are met.
  • Full-time (40 hours/week) you MUST be available for full-time hours.
  • Benefits: Accrued PTO, Paid Holidays, Medical/Dental/Vision Insurance, 401k, CEUs and more!
  • Competitive hourly salary commensurate with experience.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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