Job Summary
HCC Coding Quality Specialists are responsible for reviewing the accuracy of HCC-coded records, specifically those that map to HCCs and RxHCCs. Auditors support their findings using Medicare guidelines, ICD-10-CM guidelines, and client-specific requirements.
This is a remote position for candidates located anywhere in the U.S.
The role requires auditing a global team of Risk Adjustment coders, maintaining quality and productivity standards, and helping support training efforts.
Requirements & Qualifications
Qualifications
- Active AAPC or AHIMA certification required; apprenticeship designations are not accepted
- Acceptable credentials include CPC, CRC, CCS, or CCS-P
- At least 3 years of recent HCC coding experience
- At least 2 years of recent HCC auditing experience
- Global experience preferred
- Working knowledge of EMRs, billing systems, abstraction platforms, and related tools
- Strong professional communication skills
- Ability to maintain a quality score of 95% or higher
- Must be available for full-time hours
- Ability to work from a HIPAA-compliant home office with secure high-speed internet
Additional Expectations
- Follow Risk Adjustment Data Abstraction Rules
- Support coders with clear, educational audit feedback
- Assist with training materials and PowerPoint presentations
- Maintain compliance with privacy, security, and ethical coding standards
Benefits & Perks
Benefits
- Remote work from home within the U.S.
- Equipment provided
- Flexible scheduling after training and once quality and productivity goals are met
- Full-time schedule, 40 hours per week
- Accrued PTO
- Paid holidays
- Medical, dental, and vision insurance
- 401(k)
- CEUs and more
Location
Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
3 weeks ago