Remote HCC & Risk Adjustment Coder

UCHealth; Denver (CO); Remote; USD 33,000 - 50,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

24/7 mental health support and well‑be

Discounted gym memberships

Free Care.com membership

Paid time off and family leave

Job summary

UCHealth seeks a qualified Medical Coder focused on Hierarchical Condition Categories (HCC) and Risk Adjustment coding. You will review clinical documentation to capture chronic conditions and risk-adjusted diagnoses per CMS and payer guidelines.

Responsibilities include reviewing records, assigning diagnoses, and communicating with supervisors. Requires knowledge of HCC, RAF scoring, and concurrent chart reviews; strong audit and documentation skills are essential.

Qualifications

• High School diploma or GED required.
• Experience with Medicare Advantage and Risk Adjustment coding preferred.
• AHIMA or AAPC certification (CRC strongly preferred).
• Additional credentials RHIA, RHIT, CCS, CCS-P, CCA, CPC, CPC-H within 1 year.

Responsibilities

• Reviews medical records to determine diagnostic and procedural code assignments.
• Assigns charges for applicable clinics/departments as appropriate.
• Communicates with department manager on coding, compliance and documentation issues.
• Seeks clarification from healthcare providers to ensure accurate coding.
• Must work in a fast-paced environment with minimal supervision.
• Reviews provider documentation to identify accurate HCC and Risk Adjustment diagnoses.

Skills

Medicare Advantage experience

HCC models & RAF scoring

Chronic condition documentation

Education

High School diploma or GED

AHIMA/AAPC certification CRC preferred

RHIA/RHIT/CCS/CCS-P/CCA/CPC/CPC-H within 1 year

Job description

UCHealth seeks a qualified Medical Coder focused on Hierarchical Condition Categories (HCC) and Risk Adjustment coding. You will review clinical documentation to capture chronic conditions and risk-adjusted diagnoses per CMS and payer guidelines.

Responsibilities include reviewing records, assigning diagnoses, and communicating with supervisors. Requires knowledge of HCC, RAF scoring, and concurrent chart reviews; strong audit and documentation skills are essential.