Risk Adjustment Coder - HCC

The Judge Group; The Colony (TX); On-site; USD 34,000 - 69,000; Part time

Benefits offered by this job

Remote work

Contract role

Job summary

The Judge Group is seeking a Risk Adjustment / HCC Coder (Medicare Advantage) for a remote, contract role with a minimum of 20 hours per week. This position centers on MA and RxHCC coding in a remote environment.

Ideal candidates have at least 1 year of HCC coding experience and AHIMA/AAPC certification. Strong knowledge of ICD-10-CM guidelines, EMRs, and MS Office is expected, with compliance to HIPAA and productivity standards.

Qualifications

• Minimum 1 year of HCC coding experience.
• Medicare Advantage Risk Adjustment coding experience required.
• Must code MA HCC and RxHCC.
• Must pass a Risk Adjustment Coding Assessment prior to hire.
• CRC strongly preferred; AHIMA or AAPC credential will be considered.
• Experience with ICD-10-CM coding guidelines and risk adjustment data abstraction.
• Proficient with Microsoft Excel and Outlook.
• Strong written and verbal communication skills.
• Ability to work independently in a remote environment.

Responsibilities

• Review, analyze, and code patient medical records according to client-specific guidelines.
• Assign accurate ICD-10-CM codes following official coding guidelines and risk adjustment requirements.
• Perform Medicare Advantage risk adjustment coding, including MA HCC and RxHCC coding.
• Follow Risk Adjustment Data Abstraction Rules and project-specific coding requirements.
• Maintain a minimum quality score of 95%.
• Meet established productivity standards and project deadlines.
• Ensure compliance with HIPAA, privacy, security, and confidentiality requirements.
• Utilize EMRs, billing systems, and abstraction platforms effectively.
• Communicate professionally with team members and leadership.
• Perform additional duties as assigned.

Skills

HCC coding

Medicare Advantage

ICD-10-CM coding

EMRs familiarity

Billing systems

Microsoft Excel

Verbal & written communication

Independent remote work

Education

AHIMA or AAPC certification

CRC certification preferred

Tools

EMRs

Billing systems

Abstraction platforms

Job description

Risk Adjustment / HCC Coder (Medicare Advantage)

Duration: Contract

Schedule Requirements:

• Minimum 20 hours per week
• Remote

Required Qualifications:

• Minimum 1 year of HCC coding experience
• Medicare Advantage Risk Adjustment coding experience required
• Must be able to code MA HCC and RxHCC
• Must pass a Risk Adjustment Coding Assessment prior to hire
• Certification required through AAPC or AHIMA
• CRC strongly preferred, but any active AHIMA or AAPC credential will be considered
• Experience with ICD-10-CM coding guidelines and risk adjustment data abstraction
• Working knowledge of EMRs, billing systems, abstraction platforms, and related coding systems
• Proficient with Microsoft Excel and Outlook
• Strong written and verbal communication skills
• Ability to work independently in a remote environment

Preferred Qualifications:

• CRC Certification
• Additional coding credentials such as CPC

Job Responsibilities

• Review, analyze, and code patient medical records according to client-specific guidelines.
• Assign accurate ICD-10-CM codes following official coding guidelines and risk adjustment requirements.
• Perform Medicare Advantage risk adjustment coding, including MA HCC and RxHCC coding.
• Follow Risk Adjustment Data Abstraction Rules and project-specific coding requirements.
• Maintain a minimum quality score of 95%.
• Meet established productivity standards and project deadlines.
• Ensure compliance with HIPAA, privacy, security, and confidentiality requirements.
• Utilize EMRs, billing systems, and abstraction platforms effectively.
• Communicate professionally with team members and leadership.
• Perform additional duties as assigned.

Medical, dental, and vision insurance are available to qualified candidates who meet eligibility requirements.