Hierarchical Condition Category (HCC) Coding Specialist

Highmark Health; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health insurance provider based in the United States is seeking a skilled HCC coder to join their remote team. The ideal candidate will have at least 3 years of experience in HCC coding and possess relevant certifications. Job responsibilities include performing coding for key health programs, assisting with audits, and contributing to process improvements. This role offers competitive pay and opportunities for career growth in a supportive work environment.

Benefits

Salary up to $41.03 per hour

Career advancement opportunities

Educational meetings for professional development

Qualifications

• Minimum of 3 years of experience in HCC coding and/or coding and billing.
• Certification as a CPC, CRC, CCS, or RHIT is required.
• Proficient in Microsoft Office Suite.

Responsibilities

• Perform HCC coding for Medicare Advantage and ACA projects.
• Assist with Regulatory Audits and initial coding reviews.
• Maintain coding accuracy while engaging in educational sessions.

Skills

HCC coding

Attention to detail

Critical thinking

Written and oral communication

Education

Certified Professional Coder (CPC)

Certified Risk Coder (CRC)

Certified Coding Specialist (CCS)

Registered Health Information Technician (RHIT)

Associate degree in medical billing/coding

Tools

Microsoft Office Suite

MS Word

Excel

Outlook

PowerPoint

Job description

Employer Industry: Health Insurance

Why consider this job opportunity?

• Salary up to $41.03 per hour
• Opportunity for career advancement and growth within the organization
• Work remotely from the comfort of your home
• Engage in educational meetings and coding summits for professional development
• Supportive and collaborative work environment with a focus on quality coding
• Chance to contribute to important government programs like Medicare Advantage and ACA

What to Expect (Job Responsibilities)

• Perform HCC coding for Medicare Advantage, ACA, and End Stage Renal Disease projects, ensuring adherence to CMS Guidelines
• Assist with Regulatory Audits by performing initial coding reviews and chart rankings
• Participate in ad-hoc projects as directed by leadership to enhance departmental efficiency
• Provide recommendations for process improvements within coding practices
• Maintain coding accuracy and productivity requirements while engaging in educational sessions

What is Required (Qualifications)

• Minimum of 3 years of experience in HCC coding and/or coding and billing
• Certification as a Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT)
• Strong critical thinking and attention to detail skills
• Proficient in Microsoft Office Suite including MS Word, Excel, Outlook, and PowerPoint
• Excellent written and oral communication skills

How to Stand Out (Preferred Qualifications)

• Associate degree in medical billing/coding, health insurance, healthcare, or a related field
• 5 years of experience in HCC coding and/or coding and billing

#HealthInsurance #HCCoding #RemoteWork #CareerGrowth #ProfessionalDevelopment

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