{"schemaVersion":"jobsearcher.job.v1","id":"fd598112cfa01c4e527e96e0","url":"https://jobsearcher.com/jobs/fd598112cfa01c4e527e96e0","canonicalUrl":"https://jobsearcher.com/jobs/fd598112cfa01c4e527e96e0","title":"Coder 1/HCC Risk Adjustment","description":"Overview:\nThe 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.\n\nWe are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions.\n\nSee what it's like to work as a Coder at Cotiviti:\nhttps://www.youtube.com/watch?v=-VgcV09cxCo\nResponsibilities:\nReviews 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.\nStays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.\nProfessionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process.\nComplete all responsibilities as outlined in the annual performance review and/or goal setting.\nComplete all special projects and other duties as assigned.\nMust be able to perform duties with or without reasonable accommodation.\nThis 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.\n\nQualifications:\nEducation: Minimum High School Diploma.\n\nCertifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).\n\nExperience:\nCoder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.\nExperience in HCC record abstraction and coding requirements.\nDemonstrated high level of quality accuracy and productivity in clinical coding work.\nMaintains professional credential in good standing as required by AAPC and/or AHIMA.\nExperience in HCC record abstraction and coding requirements.\nDemonstrated high level of quality accuracy and productivity in clinical coding work.\nAdherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.\nStrong knowledge of medical terminology and anatomy and physiology.\nIntermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.\nSkills in organization and time management.\nAbility to read and understand medical record documentation for diagnosis extraction.\nComfortable with computers and technology.\nMust abide by all HIPAA and associated patient confidentiality requirements.\nRequired hours for training: Monday-Friday 8 AM – 5 PM ET\nRequired 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.\nMental Requirements:\nExcellent written and communication skills with the ability to understand and explain complex information.\nAbility to regularly and consistently achieve over 95% quality accuracy.\nAbility to appropriately communicate with management regarding workload, production expectations and deliverables.\nQuick learner with positive attitude.\nMust be able to work in a fast-paced environment.\nAbility to manage and meet deadlines.\nAdaptability to changing priorities, flexible and open to new ideas.\nPhysical Requirements and Working Conditions:\nMust participate in all required training.\nMust be able to provide a dedicated, secure work area.\nMust be able to provide high-speed internet access/connectivity and office setup and maintenance.\nRemaining in a stationary position, often standing or sitting for prolonged periods.\nRepeating motions that may include the wrists, hands, and/or fingers.\nBase 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.\n\nNonexempt 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.\n\nCotiviti 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.\n\nDate of posting: 7/22/2026\nApplications are assessed on a rolling basis. We anticipate that the application window will close on 8/25/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.\n\n#LI-SL1\n#junior\n#LI-Remote","company":"Cotiviti","rawCompany":"cotiviti","city":"Remote","state":"OR","isRemote":false,"isActive":false,"createdAt":"2026-05-04T06:45:35.621Z","occupations":[{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"},{"code":"29-2072.00","title":"Medical Records Specialists","slug":"medical-records-specialists"},{"code":"15-1211.01","title":"Health Informatics Specialists","slug":"health-informatics-specialists"}],"industries":[{"code":"621999","title":"All Other Miscellaneous Ambulatory Health Care Services","slug":"all-other-miscellaneous-ambulatory-health-care-services"},{"code":"622110","title":"General Medical and Surgical Hospitals","slug":"general-medical-and-surgical-hospitals"},{"code":"524114","title":"Direct Health and Medical Insurance Carriers","slug":"direct-health-and-medical-insurance-carriers"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Coder 1/HCC Risk Adjustment","description":"Overview:\nThe 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.\n\nWe are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions.\n\nSee what it's like to work as a Coder at Cotiviti:\nhttps://www.youtube.com/watch?v=-VgcV09cxCo\nResponsibilities:\nReviews 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.\nStays current on coding guidelines necessary for the position by attending all Cotiviti required trainings, workshops, and personal research as appropriate.\nProfessionally communicates finds, errors, and suggestions to Team Lead to facilitate on-going communications and efficient department operations as part of a continuous improvement process.\nComplete all responsibilities as outlined in the annual performance review and/or goal setting.\nComplete all special projects and other duties as assigned.\nMust be able to perform duties with or without reasonable accommodation.\nThis 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.\n\nQualifications:\nEducation: Minimum High School Diploma.\n\nCertifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, etc.).\n\nExperience:\nCoder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.\nExperience in HCC record abstraction and coding requirements.\nDemonstrated high level of quality accuracy and productivity in clinical coding work.\nMaintains professional credential in good standing as required by AAPC and/or AHIMA.\nExperience in HCC record abstraction and coding requirements.\nDemonstrated high level of quality accuracy and productivity in clinical coding work.\nAdherence to official coding guidelines, coding clinic determinations, CMS, Client specific guidelines and other regulatory compliance guidelines and mandates.\nStrong knowledge of medical terminology and anatomy and physiology.\nIntermediate skills and knowledge of computers with the ability to use the designated coding platform for coding processes with focus on both production and accuracy.\nSkills in organization and time management.\nAbility to read and understand medical record documentation for diagnosis extraction.\nComfortable with computers and technology.\nMust abide by all HIPAA and associated patient confidentiality requirements.\nRequired hours for training: Monday-Friday 8 AM – 5 PM ET\nRequired 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.\nMental Requirements:\nExcellent written and communication skills with the ability to understand and explain complex information.\nAbility to regularly and consistently achieve over 95% quality accuracy.\nAbility to appropriately communicate with management regarding workload, production expectations and deliverables.\nQuick learner with positive attitude.\nMust be able to work in a fast-paced environment.\nAbility to manage and meet deadlines.\nAdaptability to changing priorities, flexible and open to new ideas.\nPhysical Requirements and Working Conditions:\nMust participate in all required training.\nMust be able to provide a dedicated, secure work area.\nMust be able to provide high-speed internet access/connectivity and office setup and maintenance.\nRemaining in a stationary position, often standing or sitting for prolonged periods.\nRepeating motions that may include the wrists, hands, and/or fingers.\nBase 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.\n\nNonexempt 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.\n\nCotiviti 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.\n\nDate of posting: 7/22/2026\nApplications are assessed on a rolling basis. We anticipate that the application window will close on 8/25/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.\n\n#LI-SL1\n#junior\n#LI-Remote","datePosted":"2026-05-04T06:45:35.621Z","dateModified":"2026-05-04T06:45:35.621Z","hiringOrganization":{"@type":"Organization","name":"Cotiviti","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Remote","addressRegion":"OR","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"fd598112cfa01c4e527e96e0"},"url":"https://jobsearcher.com/jobs/fd598112cfa01c4e527e96e0"}}