Remote HCC Coder

Remote HCC Coder

01 Sep 2020
Wyoming, Bighorn 00000 Bighorn USA

Remote HCC Coder

Coder Job Description:

Remote Certified Coders review medical records and apply appropriate ICD–10-CM diagnostic codes and Change Healthcare Flagged Event. Codes must meet Change Healthcare QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).


  • Assign appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable.

  • Assign Change Healthcare Flagged Event codes when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes.

  • Remain current on diagnosis coding guidelines and risk adjustment reimbursement reporting requirements.

  • Check chart assignments every day and accurately report all hours worked on a weekly basis.

  • Maintain quality and production standards required by the company.

  • Report work-related concerns to assigned Coder Advocate and, if not adequately addressed, to Sr.

Manager of Clinical Operations.

  • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.

  • Comply with HIPAA laws and regulations.

  • Participate in testing and training as required by the Company.


  • Active certified coder certification through AHIMA or AAPC required (CRC, CPC, CCS - P). CCA, CPC-A are not accepted.

  • At least two years of experience as a certified coder is required.

  • At least one year of risk adjustment experience is required.

  • Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred);

  • Ability to code using an ICD-10-CM codebook (without using an encoder);

  • Strong clinical knowledge related to chronic illness diagnosis, treatment, and management;

  • Reliability and a commitment to meeting tight deadlines (24-hour turnaround time on all assigned charts);

  • Personal discipline to work remotely without direct supervision;

  • Exemplary attention to detail and completeness-all medical coders must maintain minimum QA passing requirements based on HCC scoring model (HCCx < or equal to 5 and HCCm < or equal to 5);

  • Computer proficiency (including MS Windows, MS Office, and the Internet);

  • Must have high-speed Internet access, a home computer with a current Windows operating system, MS Internet Explorer (version 6.0.2 or better), and Adobe 6.0 or better;

  • Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;

  • Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation.

Job Type: Contract

Pay: $0.00 per hour


  • HCC Coding: 1 year (Required)
  • Medical Coder: 2 years (Required)
  • Risk Adjustment Coding: 1 year (Required)


  • CCS/CCS-P (Required)
  • CPC/CRC (Required)

Contract Length:

  • 3 - 4 months

Full Time Opportunity:

  • No

Work Location:

  • Fully Remote

Company's website:


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