Coder 1 – HCC Risk Adjustment

Cotiviti

Coder I responsible for conducting diagnosis code abstraction for Medicare and Medicaid risk adjustment programs. Reviews medical records for accuracy and compliance as part of the team.

Posted 5/2/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $27 per hourWebsite

About the role

Key responsibilities & impact

Conduct accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk‑adjustment programs
Review medical records for accurate diagnosis code abstraction
Stay current on coding guidelines by attending required trainings
Communicate findings, errors, and suggestions to Team Lead

Requirements

What you’ll need

Minimum High School Diploma
Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.)
1-2 years’ experience in medical risk adjustment / HCC coding
Experience in HCC record abstraction and coding requirements
Strong knowledge of medical terminology and anatomy and physiology
Intermediate skills and knowledge of computers with the ability to use the designated coding platform
Skills in organization and time management
Ability to read and understand medical record documentation for diagnosis extraction
Must abide by all HIPAA and associated patient confidentiality requirements

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Disability insurance
Life insurance coverage
401(K) savings plans
Paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

diagnosis code abstractionHCC codingmedical risk adjustmentmedical terminologyanatomyphysiologycoding guidelinescoding platform

Soft Skills

organizationtime managementcommunication

Certifications

certified coderAAPCAHIMACRCCPCCCS