The HCC Medical Coder is a contract, on-site role based in the United States. This position reviews medical records and supporting documentation to assign accurate Hierarchical Condition Category (HCC) and ICD codes in accordance with payer guidelines and regulatory standards.
The role focuses on validating medical necessity, capturing risk-adjusting diagnoses accurately, and maintaining coding completeness for reimbursement and compliance. The coder will collaborate with clinical and administrative teams, resolve coding-related queries, and support audit and quality assurance activities while staying current with coding updates and payer requirements.
- Experience with HCC and ICD coding with a strong focus on accuracy and attention to detail
- Background in Health Information Management and familiarity with health information workflows
- Strong knowledge of medical terminology
- Experience with Medicare Advantage or risk adjustment programs is an advantage
- Proficiency with electronic health records (EHR) and coding software
- Ability to interpret payer and regulatory guidelines and apply them in daily work
- Strong analytical, organizational, and communication skills
- Active CPC, CCS, CRC, or CIC certification is required
Location
New York, New York, US
Employment Type
Contractor
Experience Level
Entry Level
Remote work allowed
No
Posted
4 weeks ago