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Hierarchical Category; HCC Coding Specialist

Job in Washington, District of Columbia, 20022, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-01-02
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 41.03 USD Hourly USD 41.03 HOUR
Job Description & How to Apply Below
Position: Hierarchical Condition Category (HCC) Coding Specialist

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 Power Point
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

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