Remote HCC & Risk Adjustment Coder

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

Benefits offered by this job

3-Year Incentive Bonus

Annual Merit Pay Increase

Market pay reviews

Job summary

UCHealth is seeking a Medical Coder focused on Hierarchical Condition Category (HCC) and Risk Adjustment coding to review clinical documentation and capture accurate diagnoses per CMS and payer guidelines. The role is 100% remote with nationwide eligibility and requires AHIMA/AAPC certifications.

Responsibilities include reviewing records, assigning diagnoses and charges, and collaborating with the manager on coding and documentation issues to ensure compliant code capture.

Qualifications

• Experience with Medicare Advantage and Risk Adjustment coding.
• Knowledge of HCC models, RAF scoring, and chronic condition documentation requirements.
• Experience performing retrospective or concurrent chart reviews to identify missed HCC opportunities.

Responsibilities

• Reviews medical records to determine all appropriate diagnostic and procedural code assignments using the appropriate classifications systems.
• Assigns charges for applicable clinics/departments as appropriate.
• Communicates with department manager/supervisor on coding, compliance and documentation issues.
• Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
• Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature.
• Reviews provider documentation to identify and assign accurate HCC and Risk Adjustment diagnoses in accordance with CMS and payer guidelines, ensuring complete documentation and compliant code capture.

Skills

HCC coding

RAF scoring

Medical documentation

Retrospective chart review

Concurrent chart review

Medicare Advantage

Education

RHIA

RHIT

CCS

CCS-P

CCA

CPC

CPC-H

Certified Risk Adjustment Coder (CRC)

Job description

UCHealth is seeking a Medical Coder focused on Hierarchical Condition Category (HCC) and Risk Adjustment coding to review clinical documentation and capture accurate diagnoses per CMS and payer guidelines. The role is 100% remote with nationwide eligibility and requires AHIMA/AAPC certifications.

Responsibilities include reviewing records, assigning diagnoses and charges, and collaborating with the manager on coding and documentation issues to ensure compliant code capture.