Certified HCC Coder

Job Summary

Working remotely on a full-time basis, the Certified HCC Coder will interpret clinical and diagnostic documentation to assign appropriate ICD-CM codes, support risk adjustment projects, and maintain coding accuracy in compliance with CMS requirements.

Key responsibilities:

• Analyze medical records to determine appropriate ICD-CM codes based on official coding guidelines
• Collaborate with coding teams and other departments to ensure effective HCC coding
• Participate in coding audits and maintain a coding accuracy rate of at least 95%

Required qualifications:

• High School diploma or equivalent
• Medical coding training and medical terminology from an accredited program
• Certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC)
• Three years of HCC and/or outpatient coding experience
• Thorough knowledge of ICD-CM coding and third-party payer requirements