Highmark Health

Hierarchical Condition Category (HCC) Coding Specialist


Pay$26.49 / hour
LocationNew York/New York
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: J250989
      Employer Industry: Health Insurance and Risk Adjustment Services

      Why consider this job opportunity:
      - Salary up to $41.03 per hour
      - Opportunity for career advancement and growth within the organization
      - Remote work opportunity with flexibility
      - Engaging in educational meetings and annual coding summits to enhance professional development
      - Supportive team environment with a focus on process improvements and efficiencies
      - Involvement in high-quality risk adjustment coding impacting Medicare Advantage and ACA beneficiaries

      What to Expect (Job Responsibilities):
      - Perform HCC coding on various projects for Medicare Advantage, ACA, and End Stage Renal Disease, ensuring adherence to CMS guidelines
      - Assist with regulatory audits by conducting initial coding reviews and ranking of charts
      - Participate in ad-hoc projects directed by leadership to meet departmental needs and provide process improvement recommendations
      - Engage in Remote Patient Monitoring (RPM) coding educational meetings
      - Maintain coding accuracy and productivity requirements across projects

      What is Required (Qualifications):
      - Minimum of 3 years of experience in HCC coding and/or coding and billing
      - Required certifications: Certified Professional Coder (CPC), Certified Risk Coder (CRC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT)
      - Strong critical thinking and attention to detail skills
      - Excellent written and oral communication abilities
      - Proficiency in Microsoft Office Suite, including MS Word, Excel, Outlook, and PowerPoint

      How to Stand Out (Preferred Qualifications):
      - 5 years of experience in HCC coding and/or coding and billing
      - Associate degree in medical billing/coding, health insurance, healthcare, or a related field

      #HealthInsurance #RiskAdjustment #RemoteWork #CodingCareers #CareerGrowth

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      A national health and wellness organization as well as the second-largest integrated delivery and financing system in America.