Remote HCC Coding Specialist – Risk Adjustment

Highmark Health; Iowa City (IA); À distance; USD 37 000 - 58 000; Plein temps

Résumé du poste

Highmark Inc. is seeking an experienced HCC coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects. You will work with physicians, Quality, Compliance, and leadership to ensure compliant documentation and coding across RPM initiatives.

The role requires 3 years of HCC coding experience (5 years preferred), CPC/CRC/CCS/RHIT certifications are common, and you will use CMS guidelines and MS Office tools.

Qualifications

• 3 years HCC coding and/or coding and billing.
• 5 years HCC coding and/or coding and billing (preferred).

Responsabilités

• Performs HCC coding on MA, ACA, and ESRD projects.
• Adheres to CMS Guidelines and Highmark policies.
• Supports RPM coding accuracy and audits.
• Collaborates with physicians, Quality, Compliance, and leadership.

Connaissances

HCC Coding

Critical Thinking

Attention to Detail

Presentation Skills

Written Communications

Communication Skills

MS Word

Excel

Outlook

PowerPoint

MS365 & Teams

Formation

Associate degree in medical billing/coding

Outils

MS Office Suite

Description du poste

Highmark Inc. is seeking an experienced HCC coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects. You will work with physicians, Quality, Compliance, and leadership to ensure compliant documentation and coding across RPM initiatives.

The role requires 3 years of HCC coding experience (5 years preferred), CPC/CRC/CCS/RHIT certifications are common, and you will use CMS guidelines and MS Office tools.