Certified Medical Coder - HCC

Job Summary

To support a growing healthcare organization, the full-time Certified Medical Coder - HCC will accurately code professional services from medical records, ensuring compliance with Medicare guidelines while working remotely.

Key responsibilities

• Accurately assign diagnosis, procedure, modifier, and HCPCS codes from medical records across various settings
• Generate queries for providers to clarify documentation and follow up on responses to ensure timely coding
• Resolve coding edits and denials, while maintaining productivity and quality standards during audits

Required qualifications

• High School Diploma or equivalent
• 3+ years of coding experience in Medicare Advantage and Risk Adjustment/HCC Coding
• Coding certification required
• Advanced knowledge of ICD-10-CM, CPT, Modifiers, and HCPCS coding classifications
• Experience with eClinical Works Practice Management System (eCW) preferred