Remote HCC Coding Specialist (Risk Adjustment)

Highmark Health; Olympia (WA); On-site; USD 37,222 - 57,652; Full time

Job summary

Highmark Health is seeking a skilled HCC Coding Specialist based in Olympia, WA. This role involves delivering quality coding for Medicare Advantage and ACA programs, utilizing expertise in HCC Coding guidelines. Candidates should have at least 3 years of coding experience and possess relevant certifications. Responsibilities include coding, assisting with audits, and collaborating on departmental improvements. This position supports Remote Patient Monitoring projects and includes educational opportunities.

Qualifications

• 3 years of experience in HCC coding and/or coding and billing required.
• 5 years of experience preferred in HCC coding and/or coding and billing.
• Certified Professional Coder (CPC), Certified Risk Coder (CRC), or equivalent certification required.

Responsibilities

• Perform HCC coding for Medicare Advantage and ACA.
• Assist with Regulatory Audits by performing first coding review.
• Participate in coding educational meetings and projects.
• Engage with teams for process improvements.

Skills

Critical Thinking

Attention to Detail

Written and Oral Presentation Skills

Communication Skills

HCC Coding

Microsoft Office Suite Proficient

Education

Associate degree in medical billing/coding or related field

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

Highmark Health is seeking a skilled HCC Coding Specialist based in Olympia, WA. This role involves delivering quality coding for Medicare Advantage and ACA programs, utilizing expertise in HCC Coding guidelines. Candidates should have at least 3 years of coding experience and possess relevant certifications. Responsibilities include coding, assisting with audits, and collaborating on departmental improvements. This position supports Remote Patient Monitoring projects and includes educational opportunities.