Remote HCC Coding Specialist | Risk Adjustment Expert

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

Job summary

Highmark Health is seeking an experienced HCC coder to support risk adjustment coding for MA, ACA, and ESRD projects. You will work independently across diverse coding systems, ensuring CMS guidelines and Highmark policies are followed while maintaining RPM accuracy.

The role requires 3 years of HCC coding experience and credentials such as CPC/CRC/CCS/RHIT, with remote office-based work and travel up to 25%. Associate degree in medical billing/coding preferred.

Qualifications

• 3 years HCC coding and/or coding and billing
• Certified Professional Coder (CPC), CRC, CCS, RHIT preferred

Responsibilities

• Performs HCC coding on MA, ACA, and ESRD projects across various models.
• Adheres to CMS guidelines and Highmark policies for coding decisions.
• Maintains RPM coding accuracy and productivity targets.
• Supports regulatory audits with chart review and ranking.

Skills

HCC Coding

Medical coding

Attention to Detail

Critical Thinking

Written Communications

Written and Oral Presentation Skills

Communication Skills

MS Word

MS Excel

MS Outlook

MS PowerPoint

MS365 & Teams proficiency

Education

Associate degree in medical billing/coding

Job description

Highmark Health is seeking an experienced HCC coder to support risk adjustment coding for MA, ACA, and ESRD projects. You will work independently across diverse coding systems, ensuring CMS guidelines and Highmark policies are followed while maintaining RPM accuracy.

The role requires 3 years of HCC coding experience and credentials such as CPC/CRC/CCS/RHIT, with remote office-based work and travel up to 25%. Associate degree in medical billing/coding preferred.