HCC Coder
Software Engineering · Contractor,
Remote
USD 22-22 / hour
HCC Coder - REMOTE
This role performs advanced ICD‑10‑CM coding and risk‑adjustment abstraction across HCC, RxHCC, and ESRD models. You will review medical records, validate diagnosis capture, and ensure compliance with Medicare, ICD‑10‑CM, and client‑specific guidelines. Success in this role requires strong analytical skills, high accuracy, independent productivity, and deep expertise in Medicare Advantage risk‑adjustment coding.
- Fully remote
- Equivalent of 40 hour work week, flexible schedule
- Contract: October - January
- Pay: $22/hr
- *2 full years of HCC Coding experience required, and the CRC is highly preferred but will accept CPC’s, Medicare Advantage experience is a must
⭐ Essential Responsibilities
ICD‑10‑CM Code Abstraction — Review and analyze medical records to assign accurate ICD‑10‑CM codes mapped to HCC, RxHCC, and ESRD models.
Guideline Compliance — Apply Medicare, ICD‑10‑CM, and client‑specific coding rules; interpret coding guidelines to ensure precise code selection.
Risk‑Adjustment Documentation Review — Follow all Risk Adjustment Data Abstraction rules and validate documentation meets MEAT criteria.
Quality & Productivity Performance — Maintain ≥95% coding quality and meet project‑defined productivity benchmarks.
Privacy & Security Compliance — Protect PHI and adhere to all organizational privacy, security, and confidentiality standards.
Audit & Data Integrity — Ensure accuracy within EMRs, billing systems, and abstraction platforms; reconcile discrepancies as needed.
Technology & Tools Utilization — Use EMRs, billing systems, abstraction platforms, Excel, Outlook, and current ICD‑10‑CM coding references effectively.
Professional Communication — Communicate clearly and professionally in both written and verbal formats.
Independent Remote Work — Work autonomously in a remote environment with reliable internet, phone access, and up‑to‑date coding materials.
Additional Duties — Perform other responsibilities as assigned by leadership.
⭐ Required Qualifications
Active coding certification through AAPC or AHIMA (no apprenticeship designations).
Acceptable credentials: CRC and CPC; CRC strongly preferred.
2+ years of HCC coding experience.
Medicare Advantage experience required.
Proficiency with EMRs, billing systems, and abstraction platforms.
Ability to use Excel (basic formulas, data entry) and Outlook (email management, scheduling).
Strong analytical, decision‑making, and deadline‑management skills.
Ability to work a 40‑hour work week with a flexible schedule.
Medical, dental, and vision insurance are available to qualified candidates who meet eligibility requirements.