HCC Coder

The Judge Group; United States; Remote; USD 25,000 - 36,000; Part time

Benefits offered by this job

Fully remote

Contract: Oct–Jan

40 hours per week

Job summary

The Judge Group is seeking an experienced Medical Coder specialized in ICD-10-CM coding with risk-adjustment abstraction for Medicare Advantage environments.

This fully remote contract runs October through January, offering about 40 hours per week at $22 per hour. Applicants should have at least 2 years of HCC coding, CRC or CPC credentials, and Medicare Advantage experience; strong accuracy and independence are essential.

Qualifications

• 2+ years of HCC coding experience required.
• CRC highly preferred but CPC’s acceptable.
• Medicare Advantage experience is a must.

Responsibilities

• ICD-10-CM code abstraction across HCC, RxHCC, and ESRD models.
• Apply Medicare, ICD-10-CM, and client-specific coding rules.
• Review risk-adjustment documentation to MEAT criteria.
• Maintain coding quality ≥95% and meet productivity benchmarks.
• Protect PHI and comply with privacy and security standards.
• Ensure accuracy within EMRs, billing systems, and abstraction platforms.
• Utilize Excel and Outlook in daily workflows.
• Communicate clearly in written and verbal formats.
• Work autonomously in a remote environment.

Skills

ICD-10-CM coding

risk-adjustment abstraction

analytical skills

Education

AAPC/AHIMA certification (coding)

CRC certification preferred

Tools

EMRs

Billing systems

Abstraction platforms

Excel

Outlook

Job description

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
• 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.
• Active coding certification through AAPC or AHIMA.
• 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