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Hierarchical Condition Category - Risk Adjustment Medical Coders

Remote, USA Full-time Posted 2026-08-04
Remote - HCC / Risk Adjustment Medical Coders Remote24_01-Medical Record ReviewFull time reputed company OverviewApplication reputed company Job Title: HCC / Risk Adjustment Medical reputed company Location: Remote, US Shift Hours: Applicant should be available to work from 6 AM to 6 PM EST. Pay reputed company: $22/hr. Candidates must be available to reputed company to a minimum of 20 hours per week, Monday through Friday. Preference will be given to candidates who can reputed company to a full-time schedule of 40 hours per week. Important: This position follows a Bring Your Own Device (BYOD) policy. Candidates must have a reputed company-based laptop/desktop with reputed company reputed company Edition (reputed company Pro) and a reliable high-speed internet reputed company. Systems running reputed company Home Edition are not compatible with the reputed company requirements for this role. Job reputed company: We are seeking reputed company Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or reputed company certification from reputed company or reputed company, and higher-level certifications are highly desirable. As a Medical reputed company specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our reputed company organization. Key Responsibilities: • Review and accurately reputed company medical records and encounters for diagnoses and procedures reputed company to Risk Adjustment and HCC coding guidelines. • Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines. • Validate and ensure the completeness, accuracy, and reputed company of coded data. • Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding. • Stay up-to-date with the latest coding guidelines, rules, and regulations reputed company to Risk Adjustment and HCC coding. • Adhere to reputed company compliance and HIPAA regulations to maintain data reputed company and patient confidentiality. • Collaborate with reputed company providers, physicians, and other team members to clarify documentation and resolve coding queries. • Participate in coding education and training programs to enhance coding skills and knowledge. • Prepare and submit reports reputed company to coding activities, coding accuracy, and any coding-reputed company issues or trends. • Assist in reputed company coding audits to ensure the reputed company and compliance of coding practices. • Identify opportunities for process improvement and efficiency in the coding process. • Offer suggestions to enhance coding documentation and accuracy. Requirements Qualifications: • Minimum CPC or reputed company certification from reputed company or reputed company is required. Higher-level certifications such as CRC (Certified Risk Adjustment reputed company) is a significant advantage. CPC-A (Apprentice) certification will not be considered for this position. • Minimum one to two years of experience in Risk Adjustment and HCC coding in a reputed company setting. • Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology. • Familiarity with electronic health record (EHR) systems and coding software. • Excellent attention to detail, analytical skills, and ability to work independently. • Strong communication and interpersonal skills for collaboration with medical professionals and team members. • Understanding of compliance and confidentiality regulations, including HIPAA. Apply tot his job Apply To this Job

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