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Health Coder – HCC & Risk Adjustment

Location : Remote
Job Type : Temp/Contract
Reference Code : Remote
Required Years of Experience : 3
Required Education : active CPC, CRC, or equivalent certification
Job Industry : Healthcare - Health Services

Job Description :

Health Coder or Medical Coder – HCC & Risk Adjustment


Job Title: Health Coder – HCC & Risk Adjustment
Location: Remote - Must live in California or Las Vegas 
Schedule: Full-time, Monday – Friday
Pay: $42.00 - $43.00 per hour
Job Type: Temp to Hire




Quick Summary:


We are hiring an experienced Health Coder or Medical Coder with a deep understanding of HCC coding and Medicare risk adjustment. This remote position plays a critical role in reviewing charts, educating providers, and ensuring compliance with CMS guidelines. Ideal for coders who enjoy collaborative work and making an impact through documentation quality improvement.




Responsibilities:



  • The Medical Coder will perform comprehensive chart reviews for accurate HCC and risk adjustment coding

  • Educate providers and staff on coding guidelines and documentation best practices

  • Health Coder will monitor compliance with CMS, Medicare Advantage, and risk adjustment rules

  • Lead training sessions and support clinical documentation improvement (CDI)

  • Assist in internal audits and development of coding policy updates

  • Serve as coding resource for clinical and billing staff


Requirements:



  • Medical Coder must have an active CPC, CRC, or equivalent certification

  • 3+ years’ experience in HCC/risk adjustment coding, provider education, or CDI

  • Strong knowledge of ICD-10-CM and CMS HCC coding methodologies

  • Experience with EHR systems and coding software

  • Fluency in English required; Cantonese and/or Mandarin strongly preferred


Required Qualifications :
 
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