Highmark Health
Hierarchical Condition Category (HCC) Coding Specialist
Highmark Health, Washington, District of Columbia, us, 20022
Employer Industry: Health Insurance
Why consider this job opportunity
Salary up to $41.03 per hour
Opportunity for career advancement and growth within the organization
Remote office‑based position with flexible work options
Engage in educational meetings and coding summits to enhance skills
Supportive work environment focused on process improvements and efficiencies
Make a significant impact on the quality of risk adjustment coding for government programs
What to Expect (Job Responsibilities)
Perform HCC coding on projects for Medicare Advantage, Affordable Care Act, and End Stage Renal Disease
Assist with regulatory audits by conducting initial coding reviews and chart rankings
Participate in ad‑hoc projects to address departmental needs and recommend process improvements
Maintain coding accuracy and productivity in adherence to CMS guidelines
Engage in remote patient monitoring coding educational initiatives
What is Required (Qualifications)
Minimum of 3 years of experience in HCC coding and/or coding and billing
Certification as a 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
Proficient in Microsoft Office Suite, including MS Word, Excel, Outlook, and PowerPoint
How to Stand Out (Preferred Qualifications)
Associate degree in medical billing/coding, health insurance, healthcare, or a related field
5 years of experience in HCC coding and/or coding and billing
We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all.
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Why consider this job opportunity
Salary up to $41.03 per hour
Opportunity for career advancement and growth within the organization
Remote office‑based position with flexible work options
Engage in educational meetings and coding summits to enhance skills
Supportive work environment focused on process improvements and efficiencies
Make a significant impact on the quality of risk adjustment coding for government programs
What to Expect (Job Responsibilities)
Perform HCC coding on projects for Medicare Advantage, Affordable Care Act, and End Stage Renal Disease
Assist with regulatory audits by conducting initial coding reviews and chart rankings
Participate in ad‑hoc projects to address departmental needs and recommend process improvements
Maintain coding accuracy and productivity in adherence to CMS guidelines
Engage in remote patient monitoring coding educational initiatives
What is Required (Qualifications)
Minimum of 3 years of experience in HCC coding and/or coding and billing
Certification as a 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
Proficient in Microsoft Office Suite, including MS Word, Excel, Outlook, and PowerPoint
How to Stand Out (Preferred Qualifications)
Associate degree in medical billing/coding, health insurance, healthcare, or a related field
5 years of experience in HCC coding and/or coding and billing
We prioritize candidate privacy and champion equal‑opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all.
#J-18808-Ljbffr