Remote HCC Coding Specialist | Medicare Risk Adjustment

Highmark Health; Colorado; Remote; USD 37.000 - 58.000; Vollzeit

Zusammenfassung

Highmark Health in the United States seeks a skilled HCC coder to support Medicare, ACA, and ESRD risk adjustment projects. You will code to CMS guidelines, review charts for regulatory audits, and collaborate with physicians and cross-functional teams to improve documentation and capture.

The role emphasizes RPM coding, education, and ongoing process improvements, with remote office-based work and a schedule offering 0–25% travel.

Qualifikationen

• 3 years HCC coding and/or coding and billing experience.
• Associate degree in medical billing/coding or related field preferred.
• Certified Professional Coder (CPC), CRC, CCS, RHIT certifications are relevant.
• Ability to adhere to CMS guidelines and RHQA standards.

Aufgaben

• Performs HCC coding on MA, ACA, and ESRD projects.
• Flexes between coding projects and uses multiple EHR systems.
• Supports regulatory audits with initial coding review and ranking.
• Participates in process improvement initiatives and coding education.
• Engages in RPM coding education and annual coding summit.

Kenntnisse

HCC Coding

Critical Thinking

Attention to Detail

Written Communications

Communication Skills

MS Word

Excel

Outlook

PowerPoint

MS365 & Teams

Ausbildung

Associate degree in medical billing/coding

Tools

MS Word

Excel

Outlook

PowerPoint

MS365 & Teams

Jobbeschreibung

Highmark Health in the United States seeks a skilled HCC coder to support Medicare, ACA, and ESRD risk adjustment projects. You will code to CMS guidelines, review charts for regulatory audits, and collaborate with physicians and cross-functional teams to improve documentation and capture.

The role emphasizes RPM coding, education, and ongoing process improvements, with remote office-based work and a schedule offering 0–25% travel.