Remote HCC Coding Specialist (Risk Adjustment)

Highmark Health; United States; Remote; USD 33,227 - 59,815; Full time

Job summary

A leading health insurance provider is seeking an experienced HCC Coding Specialist to deliver quality coding for various risk adjustment programs. The ideal candidate will have at least three years of HCC coding experience, relevant coding certifications, and strong attention to detail. Responsibilities include coding for Medicare Advantage and ACA projects, assisting with regulatory audits, and participating in coding educational initiatives. This remote position requires excellent communication and analytical skills.

Qualifications

• 3 years HCC coding and/or coding and billing experience required.
• Associates degree in relevant field preferred.
• Certification in CPC, CRC, CCS, or RHIT required.

Responsibilities

• Perform HCC coding for Medicare Advantage and ACA projects.
• Review charts during Regulatory Audits.
• Assist in process improvement projects.
• Engage in RPM Coding educational meetings.

Skills

Critical Thinking

Attention to Detail

HCC Coding

Written Communications

Communication Skills

MS Word

Excel

Outlook

PowerPoint

Microsoft Office Suite Proficient

Education

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

Job description

A leading health insurance provider is seeking an experienced HCC Coding Specialist to deliver quality coding for various risk adjustment programs. The ideal candidate will have at least three years of HCC coding experience, relevant coding certifications, and strong attention to detail. Responsibilities include coding for Medicare Advantage and ACA projects, assisting with regulatory audits, and participating in coding educational initiatives. This remote position requires excellent communication and analytical skills.