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Highmark Health

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

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

ATS Keywords

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Hard Skills & Tools
HCC codingcoding and billingcoding accuracycoding review
Soft Skills
attention to detail
Certifications
Certified Professional Coder (CPC)Certified Risk Coder (CRC)Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)