Remote HCC Coding Specialist for Risk Adjustment

Highmark Health; Central City (CO); Remote; USD 37,000 - 58,000; Full time

Job summary

Highmark Health is seeking an experienced HCC Coder to support Medicare Advantage, ACA, and ESRD projects. You will code using CMS guidelines, with focus on HCC categories and RPM initiatives, collaborating with physicians and cross-functional teams to ensure accuracy and compliance.

The role requires 3 years of HCC coding experience, CPC/CRC/CCS/RHIT certifications, and the ability to work remotely. Travel is minimal, as needed, with strong documentation practices.

Qualifications

• 3 years HCC coding and/or coding and billing.
• CPC, CRC, CCS, and RHIT certifications required.
• Remote office-based; HIPAA compliance and CMS guidelines knowledge.

Responsibilities

• Performs HCC coding on MA, ACA, and ESRD projects.
• Supports CMS guidelines and RPM coding accuracy.
• Assists with regulatory audits via chart review.
• Participates in ad-hoc projects and process improvements.
• Engages in RPM coding education and annual coding Summit.

Skills

Critical Thinking

Attention to Detail

Written Communication

Verbal Communication

HCC Coding

Education

Certified Professional Coder (CPC)

Certified Risk Coder (CRC)

Certified Coding Specialist (CCS)

Registered Health Information Technician (RHIT)

Tools

MS Word

Excel

Outlook

PowerPoint

MS365 & Teams

Job description

Highmark Health is seeking an experienced HCC Coder to support Medicare Advantage, ACA, and ESRD projects. You will code using CMS guidelines, with focus on HCC categories and RPM initiatives, collaborating with physicians and cross-functional teams to ensure accuracy and compliance.

The role requires 3 years of HCC coding experience, CPC/CRC/CCS/RHIT certifications, and the ability to work remotely. Travel is minimal, as needed, with strong documentation practices.