Remote HCC Coder I: Risk-Adjustment Specialist

Cotiviti; United States; Remote; USD 48,000 - 55,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

401(K)

Paid time off

Job summary

Cotiviti is seeking Remote Risk Adjustment / HCC Coders for full-time permanent roles. The coder conducts diagnosis code abstraction for Medicare, Commercial, and Medicaid programs, applying ICD-10-CM guidelines and Cotiviti/client requirements to ensure high-quality outcomes.

Responsibilities include reviewing records, staying current with guidelines, and communicating findings to Team Lead. Training is 8 AM–5 PM ET; 40 hours weekly, remote work across time zones.

Qualifications

• Coder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.
• Credential maintenance with AAPC/AHIMA required.
• Adherence to official coding guidelines and CMS/client rules.

Responsibilities

• Review medical records for accurate diagnosis code abstraction across chart types.
• Stay current on coding guidelines through Cotiviti trainings and personal research.
• Communicate findings and suggestions to Team Lead for process improvement.
• Complete duties per annual performance review and special projects.
• Work 40 hours per week, Monday–Friday, with training hours 8 AM–5 PM ET.

Skills

Medical terminology

Time management

Communication

Attention to detail

Education

High School Diploma

Job description

Cotiviti is seeking Remote Risk Adjustment / HCC Coders for full-time permanent roles. The coder conducts diagnosis code abstraction for Medicare, Commercial, and Medicaid programs, applying ICD-10-CM guidelines and Cotiviti/client requirements to ensure high-quality outcomes.

Responsibilities include reviewing records, staying current with guidelines, and communicating findings to Team Lead. Training is 8 AM–5 PM ET; 40 hours weekly, remote work across time zones.