Top 39 Remote hcc coder Jobs

Medicare Risk Adjustment Coder (Hybrid)
Genuine Health Group —Coral Gables, FL
- From $65,000 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Spanish
- Paid holidays
- Health insurance
Quick Apply
HCC Medical Coder
vArida-Tech Inc. —Remote
- $24.86 - $29.94 an hour
- Contract
- Remote
- Background check
- Organizational skills
- Communication skills
- Flexible schedule
Quick Apply
21h
HCC Coding Specialist (Temporary, Part Time)
Virtix Health LLC —Texas
- 8 hour shift
- Remote
- Microsoft Outlook
- Mid-level
- Leadership
- Work from home
- Flexible schedule
Quick Apply
11d
HCC Coding Quality Specialist
Virtix Health LLC —Texas
- 8 hour shift
- Remote
- Mid-level
- 2 years
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
4d
Hierarchical Condition Category (HCC) Coding Specialist
Highmark Inc. —Pennsylvania
- $27.02 - $41.85 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Clinical Documentation Integrity Specialist (Coder)
Greenbrook Medical —Remote
- $33 - $36 an hour
- Remote
- Anatomy knowledge
- Microsoft Excel
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
Remote Medicare Risk Adjustment Coding/ Auditor (Prior CMS-HCC V28 required)
Alignment Healthcare USA, LLC —Orange, CA
- $64,384 - $96,577 a year
- Full-time
- Remote
- Microsoft Outlook
- Basic math
- HIPAA
Quick Apply
3d
Risk Adjustment Coder Professional Billing II, FT, Days, - Remote
Prisma Health —Greenville, SC
- Full-time
- Remote
- 5 years
- Word processing
- Basic math
Clinical Documentation Integrity Specialist (Coder)
TGH Senior Center Powered by Greenbrook Medical —Remote
- $33 - $36 an hour
- Remote
- Anatomy knowledge
- Microsoft Excel
- Mid-level
- Dental insurance
- Paid time off
CPC Coder
Mehta Medical Group PLLC —Houston, TX
- $20 - $25 an hour
- Full-time
- Remote
- Clinic experience
- Continuous improvement
- Organizational skills
Quick Apply
Medical Auditor - Remote
Sprinter Health —Menlo Park, CA
- $36 an hour
- Full-time
- Remote
- Google Workspace
- HIPAA
- Mid-level
- Dental insurance
- Parental leave
Quick Apply
Risk Adjustment Auditor and Physician Educator- Remote, WA only
Valley Medical Center —Renton, WA
- $86,267 - $129,401 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Coding Specialist 1
University of Washington —Seattle, WA
- $29.41 - $42.10 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
11d
Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible
Memorial Healthcare System —Miramar, FL
- Full-time
- Remote
- Anatomy knowledge
- Surgery
- Customer service
Coding Analyst, Care Delivery Organization - Fully remote
Alignment Healthcare USA, LLC —Orange, CA
- $58,531 - $87,797 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Associate's degree
Quick Apply
13d
Professional Coding Auditor & Educator
Holy Cross Health —Silver Spring, MD
- $28.00 - $43.40 an hour
- Full-time
- Remote
- Computer literacy
- Mid-level
- Windows
- Free parking
- Tuition reimbursement
Risk Adjustment Coder (CRC Required)
Hernandez Health Diabetes and senior care clinic —Perris, CA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
Quick Apply
Risk Adj Coding Specialist, Remote
Baptist Health South Florida —Florida
- $23.21 - $29.48 an hour
- Remote
- Mid-level
- High school diploma or GED
- Organizational skills
- Wellness program
- Health insurance
Senior Professional Coder
Albany Medical Center —Albany, NY
- $64,972 - $97,458 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Windows
7d
HB Outpatient Second Level Reviewer – Remote
UC San Diego Health —San Diego, CA
- $39.08 - $70.79 an hour
- 8 hour shift
- Remote
- Customer service
- Pass drug screening
- 3 years

I want to receive the latest job alert for remote hcc coder

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

remote hcc coder jobs near

Coding Specialist jobs in Texas

Clinical Documentation Improvement Specialist jobs in Remote

Coding Specialist jobs in Seattle, WA

Senior Coder jobs in Albany, NY

Coding Specialist jobs in Pennsylvania

Adjuster jobs in Orange, CA

Coding Specialist jobs in Houston, TX

Coding Specialist jobs in Florida

Coding Specialist jobs in Missouri

Coding Specialist jobs in Greenville, TX

Clinical Documentation Improvement Specialist jobs in Houston, TX

Veteran Military Peer Support Specialist jobs in California

Coding Specialist jobs in New York, NY

Coding Specialist jobs in Aurora, CO

Entry Level Medical Billing Coding Training jobs in New Jersey

Medical Coding jobs in Roseville, CA

Clinical Documentation Improvement Specialist jobs in Rochester, NY

Clinical Research Assistant jobs in Indianapolis, IN

Clinical Documentation Improvement Specialist jobs in New Jersey

Clinical Documentation Specialist jobs in Tennessee

Medicare Risk Adjustment Coder (Hybrid)

Genuine Health Group -
Coral Gables, FL

Quick Apply

Job Details

Full-time
From $65,000 a year

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Flexible schedule
Life insurance

Qualifications

Bilingual
Spanish
Microsoft Excel
Medicare
Medical coding
English
Certified Professional Coder
ICD-10
Certified Coding Specialist
CPT coding
EMR systems
Medical Billing & Coding
Communication skills

Full Job Description

Summary:

The Medicare Risk Adjustment (MRA) Coder plays a critical role in driving risk adjustment accuracy and provider documentation quality across the Genuine Health Group network. Fluency in English and Spanish is required for this role, as the ideal candidate will support both retrospective and concurrent chart reviews, leveraging strong knowledge of Hierarchical Condition Categories (HCC) and MEAT (Monitoring, Evaluation, Assessment, Treatment) documentation standards to ensure complete, accurate, and compliant capture of chronic conditions. The ideal candidate will be analytical, adaptable, and highly skilled in translating medical documentation into actionable coding insights, while also serving as an educational partner to providers.

Essential Duties and Responsibilities:

Review and audit patient medical records— including histories and physicals, progress notes, diagnostic reports, pathology results, medication, labs results and discharge summaries— to ensure diagnoses are accurately captured, documented, and coded in compliance with CMS risk adjustment standards.
Apply MEAT criteria to validate chronic conditions and ensure accurate HCC capture.
Conduct comprehensive retrospective chart reviews for each assigned panel twice per year - every semester.
Perform pre and post-visit chart audits to support real-time documentation improvement proactively identify coding opportunities.
Submit validated HCC codes accurately and in a timely manner through appropriate platforms.
Lead chart review discussions with providers and clinical teams, offering data-driven insights to enhance documentation.
Foster collaborative relationships with provider offices to support engagement and education.
Identify trends in under coding or documentation gaps and escalate key findings when necessary.
Coordinate retrieval of medical records from internal and external sources to support chart reviews and audit requests.
Ensure compliance with CMS guidelines and applicable regulations on coding.
Educate physicians and staff on documentation specificity and coding best practices.
Maintain audit logs and generate performance reports.
Collaborate with Quality team on HEDIS and care gap initiatives.
Travel locally approximately 30% of the workweek to support on-site provider engagement. (70% remote / 30% on-site hybrid model - may vary based on EMR system per provider)
Participate in special projects or duties as assigned.
Out-of-state travel, if necessary, includes requirements for some ACOs offices, with all expenses covered by the company.

Qualifications & Skills

Deep knowledge of ICD-10, HCC coding, MEAT criteria, and CMS risk adjustment methodologies.
Strong understanding of Medicare Advantage, value-based care, and electronic medical record (EMR) systems.
Proficient in Microsoft Excel, Outlook, and web-based chart review platforms.
Excellent communication skills in both Spanish and English (written and verbal).
High attention to detail with strong organizational and critical thinking abilities.
Self-motivated and able to work independently in a field-based setting.
Proven ability to engage and educate providers and any other staff on documentation improvement.

Minimum Education and Experience

Certification required: CPC, CRC, CPMA, CCS-P, CCS, RHIA, or RHIT.
3+ years of MRA coding experience with Medicare Advantage populations.
1+ year of fee-for-service billing experience preferred.
Bachelor’s degree preferred; FMG or international medical graduate background a plus.
Bilingual fluency in Spanish and English is required.

Genuine Health Group offers a competitive compensation and benefits package that includes a 401k matching program, fully subsidized medical plans, paid holidays and much more. Base salary will be commensurate to professional experience. All final employment offers are contingent upon successful completion of background checks.

Genuine Health Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Type: Full-time

Pay: From $65,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Application Question(s):

Do you now or will you in the future require sponsorship to work in the United States?
What are your salary expectations for the role?

Experience:

Medicare Risk Adjustment Coding: 3 years (Required)
ICD-10 Coding: 1 year (Preferred)
CPT Coding: 1 year (Preferred)

Language:

English and Spanish (Required)

License/Certification:

CPC /CPMA/ CRC/ CCS-P/ CCS/ RHIA or RHIT certification (Required)

Ability to Commute:

Coral Gables, FL 33134 (Required)

Willingness to travel:

50% (Required)

Work Location: Hybrid remote in Coral Gables, FL 33134

Quick Apply

Refine Your Search

remote hcc coder jobs

Medicare Risk Adjustment Coder (Hybrid)

HCC Medical Coder

HCC Coding Specialist (Temporary, Part Time)

HCC Coding Quality Specialist

Hierarchical Condition Category (HCC) Coding Specialist

Clinical Documentation Integrity Specialist (Coder)

Remote Medicare Risk Adjustment Coding/ Auditor (Prior CMS-HCC V28 required)

Risk Adjustment Coder Professional Billing II, FT, Days, - Remote

Clinical Documentation Integrity Specialist (Coder)

CPC Coder

Medical Auditor - Remote

Risk Adjustment Auditor and Physician Educator- Remote, WA only

Coding Specialist 1

Hospital Based Outpatient Coder II - HIM - FT - Days - MSS - Remote Eligible

Coding Analyst, Care Delivery Organization - Fully remote

Professional Coding Auditor & Educator

Risk Adjustment Coder (CRC Required)

Risk Adj Coding Specialist, Remote

Senior Professional Coder

HB Outpatient Second Level Reviewer – Remote

I want to receive the latest job alert for remote hcc coder

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected