Remote HCC Coding Specialist | Risk Adjustment Expert

Highmark Health; Yorktown (VA); Remote; USD 37.000 - 58.000; Vollzeit

Zusammenfassung

Highmark Inc. seeks an experienced HCC Coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects.

You will work remotely, analyze physician documentation, and translate it into ICD-10 diagnoses and HCC categories, while aligning with CMS guidelines and Highmark policies. You will collaborate with physicians, Quality, Compliance, and leadership to improve documentation accuracy, support audits, and participate in RPM coding initiatives and ongoing education.

Qualifikationen

• 3 years HCC coding and/or coding and billing.
• Preferred associate degree in medical billing/coding or related field.
• Certifications such as CPC, CRC, CCS or RHIT preferred or required.
• HCC coding supports MA, ACA and ESRD projects with CMS guidelines.

Aufgaben

• Performs HCC coding on projects for MA, ACA, and ESRD.
• Adheres to CMS Guidelines and Highmark policies.
• Supports RPM coding and audits, participates in education meetings.
• Collaborates with physicians and teams to improve documentation.

Kenntnisse

HCC Coding

Critical Thinking

Attention to Detail

Written Communications

Communication Skills

MS Word

MS Excel

MS Outlook

PowerPoint

MS Teams

Ausbildung

Associate degree in medical billing/coding

Tools

EMR systems

Coding applications

Jobbeschreibung

Highmark Inc. seeks an experienced HCC Coder to deliver accurate risk adjustment coding for MA, ACA, and ESRD projects.

You will work remotely, analyze physician documentation, and translate it into ICD-10 diagnoses and HCC categories, while aligning with CMS guidelines and Highmark policies. You will collaborate with physicians, Quality, Compliance, and leadership to improve documentation accuracy, support audits, and participate in RPM coding initiatives and ongoing education.