HCC Coding Specialist

Job Summary

To support the coding needs of healthcare clients, the full-time remote HCC Coding Specialist will review medical records to abstract ICD-10 codes, ensuring compliance with Medicare guidelines and client-specific requirements.

Key responsibilities

• Review and analyze patient medical records to accurately code based on client guidelines
• Follow ICD-10-CM Coding Guidelines and Risk Adjustment Data Abstraction Rules for precise code assignment
• Maintain a quality score of 95% or higher while meeting ongoing productivity requirements

Required qualifications

• Certification through AAPC or AHIMA (CPC, CRC, COC, RHIA, RHIT, CCS, or CCS-P) is mandatory
• Minimum of 1 year of HCC coding experience and 1 year of on-the-job coding experience
• Proficiency in using EMRs, billing systems, and abstraction platforms
• Must have a reliable internet connection, phone, and current ICD-10-CM coding materials
• Proficient in Microsoft Excel and Outlook for basic tasks and communication