HCC Risk Adjustment Coder in United States at Jobgether

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a HCC Risk Adjustment Coder in United States.

This role plays a key part in ensuring accurate risk adjustment coding that directly supports quality care measurement and appropriate healthcare reimbursement. You will review detailed medical records to identify and assign HCC codes in alignment with clinical documentation and payer guidelines. Working remotely within a tech-enabled care enablement environment, you will contribute to improving data accuracy, compliance, and revenue integrity across diverse healthcare clients. The position combines analytical review with healthcare coding expertise, requiring strong attention to detail and consistency in productivity and quality standards. You will collaborate with clinical teams and physicians when documentation clarification is needed, ensuring coding accuracy and completeness. In this dynamic setting, each assignment may involve different specialties and client environments, offering variety and continuous learning while working from home.

In this role, you will be responsible for accurate risk adjustment coding and documentation review that supports healthcare operations and compliance:

• Review medical records to identify and assign appropriate HCC codes based on clinical documentation and payer guidelines
• Abstract relevant clinical information from patient records with accuracy and consistency
• Ensure coding aligns with client-specific requirements, regulatory standards, and official coding guidelines
• Maintain productivity and quality benchmarks while completing real-time coding tasks using designated systems
• Seek clarification from physicians when documentation is incomplete, ambiguous, or conflicting
• Participate in training sessions, coding roundtables, and knowledge-sharing activities with peers and clients
• Stay current with industry updates including Coding Clinic, CPT Assistant, and official coding guidelines
• Contribute to a professional, collaborative work environment and support additional coding-related tasks as assigned

The ideal candidate brings strong healthcare coding expertise, certification, and attention to detail, along with the ability to work independently in a remote environment:

• Active certification required (e.g., CPC, COC, CRC, CCS, RHIT, or RHIA)
• Experience in medical coding, particularly in risk adjustment or HCC coding environments
• Strong understanding of ICD-10-CM, CPT guidelines, and healthcare documentation standards
• Ability to interpret complex medical records and extract accurate clinical information
• Familiarity with coding compliance rules, payer requirements, and official coding guidelines
• Strong written and verbal communication skills for physician clarification and team collaboration
• Ability to meet productivity and accuracy standards in a fast-paced environment
• Comfortable working remotely and managing tasks independently with minimal supervision
• Strong attention to detail, analytical thinking, and organizational skills
• Commitment to maintaining active certification and continuous learning

• Remote work with flexible scheduling based on client needs
• Competitive pay range of $24.00–$25.00 per hour (based on experience, credentials, and location)
• 401(k) retirement plan eligibility (based on employment status)
• Voluntary benefits options
• Exposure to multiple healthcare environments and specialties for continuous learning
• Opportunity to work within a tech-enabled healthcare support ecosystem
• Equal opportunity workplace with inclusive hiring practices