HCC Coding Specialist

Highmark Health

HCC Coding Specialist working on Medicare Advantage and Affordable Care Act coding projects. Collaborating with healthcare teams to ensure high-quality coding and compliance with CMS guidelines.

Posted 6/24/2026full-timeRemote • Louisiana, Maryland, North Carolina, Pennsylvania, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $27 - $42 per hourWebsite

ATS Keywords

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Hard Skills

HCC codingcoding and billingcoding accuracycoding review

Soft Skills

attention to detail

Tools & Technologies

MS WordExcelOutlookPowerPointMicrosoft Office Suite

Certifications & Qualifications

Certified Professional Coder (CPC)Certified Risk Coder (CRC)Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)

Industry Keywords

CMS GuidelinesRegulatory AuditsHighmark’s Policy and ProceduresMAACAEnd Stage Renal Disease (ESRD)

About the role

Key responsibilities & impact

Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD)
Works independently in various coding applications
Adheres to CMS Guidelines for Coding and Highmark’s Policy and Procedures
Maintains RPM coding accuracy and productivity requirements
Assists with Regulatory Audits by performing first coding review

Requirements

What you’ll need

3 years HCC coding and/or coding and billing
Certified Professional Coder (CPC) or Certified Risk Coder (CRC) or Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT)
Attention to Detail
HCC Coding
Proficient in MS Word, Excel, Outlook, PowerPoint, Microsoft Office Suite

Benefits

Comp & perks

Health insurance
401(k) matching
Remote work options