Remote HCC Coding Specialist for Medicare/MA

Highmark Health; Providence (RI); Remote; USD 37,000 - 58,000; Full time

Job summary

Highmark Inc. is seeking a remote HCC Coder to support risk adjustment coding for MA, ACA, and ESRD programs. You will work with physicians and internal teams to ensure accurate documentation and coding in line with CMS guidelines.

The role emphasizes precision in coding, familiarity with RPM projects, and collaboration across departments to drive compliant risk adjustment outcomes. Remote office-based position with travel up to 25%.

Qualifications

• 3 years HCC coding and/or coding and billing
• 5 years HCC coding and/or coding and billing preferred
• Certifications such as CPC, CRC, CCS, RHIT are preferred

Responsibilities

• Performs HCC coding on MA, ACA, and ESRD projects and supports multiple coding models
• Adheres to CMS Guidelines and Highmark policies for coding decisions
• Supports RPM coding educational meetings and regulatory audits by initial chart review and ranking

Skills

HCC Coding

Attention to Detail

Written Communications

Communication Skills

MS Word, Excel, Outlook, PowerPoint

Education

Associate degree in medical billing/coding or related field

Tools

MS 365 & Teams

Job description

Highmark Inc. is seeking a remote HCC Coder to support risk adjustment coding for MA, ACA, and ESRD programs. You will work with physicians and internal teams to ensure accurate documentation and coding in line with CMS guidelines.

The role emphasizes precision in coding, familiarity with RPM projects, and collaboration across departments to drive compliant risk adjustment outcomes. Remote office-based position with travel up to 25%.