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Hierarchical Category; HCC Coding Specialist

Job in Georgia, Franklin County, Vermont, USA
Listing for: Highmark Health
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
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

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 offering flexibility
  • Engage in educational meetings and coding summits to enhance skills
  • Supportive work environment focused on improving healthcare outcomes
  • Participate in meaningful projects that impact patient care and compliance
What to Expect (Job Responsibilities):
  • Perform HCC coding for Medicare Advantage, Affordable Care Act, and other related projects while adhering to CMS guidelines
  • Assist with regulatory audits by conducting coding reviews and collaborating with coding teams
  • Participate in ad-hoc projects and provide recommendations for process improvements
  • Engage in Remote Patient Monitoring coding educational meetings and summits
  • Maintain coding accuracy and productivity requirements
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
  • Proficient in written and oral communication skills
  • Familiarity with Microsoft Office Suite including MS Word, Excel, Outlook, Power Point
How to Stand Out (Preferred Qualifications):
  • Associate degree in medical billing/coding, health insurance, healthcare, or a related field
  • 5 years of in HCC coding and/or coding and billing

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