Remote HCC Coding Specialist - Medicare Risk Adjustment

Highmark Health; United States; Remote; USD 37,000 - 58,000; Full time

Job summary

Highmark Inc. is seeking a skilled HCC Coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects. You will work across various coding applications and EMR systems, ensuring CMS guidelines are followed and RPM coding accuracy is maintained.

The role requires 3+ years in HCC coding, with CPC/CRC/CCS/RHIT credentials being a plus. This remote, office-based position offers a dynamic environment with multiple stakeholders and growth opportunities.

Qualifications

• 3 years HCC coding and/or coding and billing.
• Certified coding credentials (CPC/CRC/CCS/RHIT) preferred.

Responsibilities

• Performs HCC coding on MA, ACA, and ESRD projects and supports RPM coding accuracy.
• Assists with Regulatory Audits through initial coding review and chart ranking.
• Participates in ad-hoc projects and identifies process improvements.
• Engages in RPM Coding educational meetings and annual coding Summit.
• Other duties as assigned.

Skills

HCC Coding

Attention to Detail

Communication Skills

MS Office Suite

Education

Associate degree in medical billing/coding, health insurance, healthcare or related field

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

Highmark Inc. is seeking a skilled HCC Coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects. You will work across various coding applications and EMR systems, ensuring CMS guidelines are followed and RPM coding accuracy is maintained.

The role requires 3+ years in HCC coding, with CPC/CRC/CCS/RHIT credentials being a plus. This remote, office-based position offers a dynamic environment with multiple stakeholders and growth opportunities.