Coder 1/HCC Risk Adjustment

Cotiviti US & Canada Page; Myrtle Point (OR); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare analytics company is seeking Remote Risk Adjustment / HCC Coders to ensure accurate coding from medical records for Medicare and Medicaid. Candidates should have a high school diploma, relevant coding certification, and experience in the field. The role offers competitive pay ranging from $21 to $26 per hour, with additional bonuses and benefits including paid time off and insurance coverage.

Benefits

Medical, dental, and vision insurance

401(K) savings plans

17-27 days of Paid Time Off (PTO)

Paid family leave

Qualifications

• Minimum of 1-2 years of experience in medical risk adjustment / HCC coding.
• Nationally certified coder in good standing through AAPC or AHIMA.

Responsibilities

• Review medical records for accurate coding for various payer types.
• Ensure adherence to coding guidelines and maintain quality accuracy.

Skills

Coding accuracy

Communication skills

Time management

Medical terminology

Adaptability

Education

High School Diploma

Job description

Overview

Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare.

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions.

See what it's like to work as a Coder at Cotiviti: https://www.youtube.com/watch?v=-VgcV09cxCo

Responsibilities

• Ability to review medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility).
• May have special projects that will entail a full coding review.
• Ability to code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA’s Coding Clinic and well as Cotiviti and client specific coding guidelines.
• Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.
• Ability to regularly and consistently achieve over 95% quality accuracy.
• Appropriately communicate with management regarding workload, production expectations and deliverables.
• Utilizes the 'Dispute Resolution' process when disagreement occurs related to a coding determination.
• Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
• Professionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process.
• Quick learner with positive attitude.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.

Qualifications

Education: Minimum High School Diploma.

Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).

Experience:

• Coder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.
• Experience in HCC record abstraction and coding requirements.

Knowledge, Skills & Abilities:

• Demonstrated high level of quality accuracy and productivity in clinical coding work.
• Adherence to official coding guidelines (including coding clinics, CMS, client specific guidelines and other regulatory compliance guidelines and mandates).
• Excellent written and verbal communication skills with the ability to understand and explain complex information.
• Strong knowledge of medical terminology and anatomy and physiology.
• Skills in organization and time management.
• Comfortable with computers and technology.
• Must be able to work in a fast-paced environment.
• Ability to manage and meet deadlines, adapt to changing priorities, flexible and open to new ideas.
• Must be able to perform duties with or without reasonable accommodation.
• Must participate in all required training.
• Must abide by all HIPAA and associated patient confidentiality requirements.
• This is a home-based position and requires individuals to work within the continental US, have a place to work that is free from distractions and have a high-speed internet connection.
• This role is aligned to certain productivity and quality requirements.
• Required hours for training: Monday-Friday 8 AM – 5 PM ET
• Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule based on your time zone. This role is not intended to work nights, weekends or part-time.

Mental Requirements:

• Excellent written and communication skills with the ability to understand and explain complex information.
• Ability to regularly and consistently achieve over 95% quality accuracy.
• Ability to appropriately communicate with management regarding workload, production expectations anddeliverables.
• Quick learner with positive attitude.
• Must be able to work in a fast-paced environment.
• Ability to manage and meet deadlines.
• Adaptability to changing priorities, flexible and open to new ideas.

Physical Requirements and Working Conditions:

• Must participate in all required training.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.

Base compensation ranges from $21.00 to $26.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 9/15/2025

Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/15/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

#LI-SL1

#junior

#LI-Remote