Health Coder – HCC & Risk Adjustment

HealthCare Talent; United States; Remote; Full time

Job summary

A leading healthcare company is seeking a skilled Health Coder specializing in HCC and risk adjustment coding. This remote role involves chart reviews, provider education, and ensuring compliance with CMS guidelines. Ideal candidates will have strong coding knowledge and experience, contributing to documentation quality improvement.

Qualifications

• 3+ years’ experience in HCC/risk adjustment coding.
• Strong knowledge of ICD-10-CM and CMS HCC coding methodologies.

Responsibilities

• Perform comprehensive chart reviews for accurate HCC coding.
• Educate providers on coding guidelines and best practices.
• Monitor compliance with CMS and Medicare Advantage rules.

Skills

HCC Coding

Provider Education

Compliance Monitoring

Documentation Improvement

Education

CPC Certification

CRC Certification

Tools

EHR Systems

Coding Software

Job description

HealthCare Talent is now a division of Cross Country Healthcare.

Bridging the gap between your dreams and your current healthcare position.

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
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