编码员1/HCC风险调整
Coder 1/HCC Risk Adjustment
概述
Coder I 负责对 Medicare、Commercial 和 Medicaid 风险调整项目中的各种病历类型进行准确、合规和完整的诊断代码抽象。该职位应用 ICD-10-CM 官方指南、AHA 编码诊所指导以及 Cotiviti/客户特定要求，以确保高质量的编码结果。当出现编码分歧时，Coder I 会使用既定的争议解决流程，并就发现、错误和改进机会与团队领导进行专业沟通。
我们目前正寻找多名远程风险调整/HCC 编码员（Coder 1）从事全职永久职位。
了解在 Cotiviti 担任编码员的工作体验：
职责
- 审核医疗记录，从各种病历和就诊类型中准确、合规且完整地抽象诊断代码，以支持 Medicare、Commercial 和 Medicaid 的前瞻性、同步和回顾性风险调整项目。
- 通过参加所有 Cotiviti 要求的培训、研讨会和个人研究，保持与岗位相关的编码指南更新。
- 与团队主管专业沟通发现、错误和建议，以促进持续沟通和高效部门运作，作为持续改进过程的一部分。
- 完成年度绩效评估和/或目标设定中规定的全部职责。
- 完成所有特殊项目和其他指派的任务。
- 必须能够无需或需要合理便利即可履行职责。
本职位描述旨在描述正在执行工作的性质和级别，不应被理解为详尽的责任、职责和技能列表。本职位描述不构成雇佣协议，随着 Cotiviti 的需求和职位要求的变化，可能会进行更改。
资格要求
教育：最低要求高中文凭。
认证：通过 AAPC 或 AHIMA 获得国家认证的编码员（CRC、CPC、CCS 等），且处于良好状态。
经验：
- Coder 1：1-2 年医疗风险调整/HCC 编码经验。
- 具有 HCC 记录抽象和编码要求的经验。
- 在临床编码工作中表现出高水平的质量准确性和生产率。
- 保持由 AAPC 和/或 AHIMA 要求的专业资质的良好状态。
- 具有 HCC 记录抽象和编码经验。
查看英文原文
Overview
The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk‑adjustment programs across a variety of chart types. This role applies ICD‑10‑CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client‑specific requirements to ensure high‑quality coding outcomes. The Coder I utilizes established dispute‑resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities.
We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions.
See what it's like to work as a Coder at Cotiviti:
Responsibilities
- Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types.to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment program initiatives.
- Stays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.
- Professionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process.
- Complete all responsibilities as outlined in the annual performance review and/or goal setting.
- Complete all special projects and other duties as assigned.
- Must be able to perform duties with or without reasonable accommodation.
This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.
Qualifications
Education: Minimum High School Diploma.
Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).
Experience:
- Coder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.
- Experience in HCC record abstraction and coding requirements.
- Demonstrated high level of quality accuracy and productivity in clinical coding work.
- Maintains professional credential in good standing as required by AAPC and/or AHIMA.
- Experience in HCC record abstraction and coding requirements.
- Demonstrated high level of quality accuracy and productivity in clinical coding work.
- Adherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.
- Strong knowledge of medical terminology and anatomy and physiology.
- Intermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.
- Skills in organization and time management.
- Ability to read and understand medical record documentation for diagnosis extraction.
- Comfortable with computers and technology.
- Must abide by all HIPAA and associated patient confidentiality requirements.
- Required hours for training: Monday-Friday 8 AM – 5 PM ET.
- Required working hours: 40 hours per week, Monday-Friday 8-hour days; daytime schedule based on your time zone. This role is not intended to work nights, weekends or part-time.
Mental Requirements:
- Excellent written and communication skills with the ability to understand and explain complex information.
- Ability to regularly and consistently achieve over 95% quality accuracy.
- Ability to appropriately communicate with management regarding workload, production expectations and deliverables.
- Quick learner with positive attitude.
- Must be able to work in a fast-paced environment.
- Ability to manage and meet deadlines.
- Adaptability to changing priorities, flexible and open to new ideas.
Physical Requirements and Working Conditions:
- Must participate in all required training.
- Must be able to provide a dedicated, secure work area.
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Repeating motions that may include the wrists, hands, and/or fingers.
Base compensation ranges from $23.00 to $26.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(K) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 9/2/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/2/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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Originally posted on Himalayas