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Lead Hierarchical Condition Category (HCC) Coding Specialist - (Remote)
Highmark Health
πŸ“ Penbrook, Dauphin County 🌐 Remote Medical Billing & Coding Posted 2026-04-24
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Job Description

Company : Endorsed Job Description : JOB SUMMARY This job will deliver value to the Enhanced Community Care Management (ECCM) clinical risk assessment programs (MA and ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits. Conducts quality assurance
A Day in the Life: Medical Billing & Coding
Full Career Guide β†’
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15–25 charts per…
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (the…
10:30 AM
Encounter a complex chart β€” a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eve…
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