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United States Jobs
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HEDIS
HEDIS Coordinator / Quality Improvement Specialist
Actalent — Texas | Remote | Posted 10 Jul 2026
Calls provider offices to validate records, abstracts HEDIS data, runs Excel reports, and documents outreach efforts. HEDIS abstraction experience required...
$25 – $30 per hour
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HEDIS
Abstractor, HEDIS / Quality Improvement
Molina Healthcare — Arizona | Remote | Posted 6 Jul 2026
Conducts data collection and abstraction of medical records for HEDIS and HEDIS-like projects on the Quality Improvement Abstraction team...
Hourly, DOE
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HEDIS
Remote Healthcare Abstractor & Coder I
University of Chicago — Burr Ridge, IL | Remote | Posted 18 Jul 2026
Manages clinical revenue for physician billing and ensures compliance; codes medical services, analyzes reports, and educates staff on coding issues...
$26.66 – $39.02 per hour
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Quality
Clinical – HEDIS Coordinator
Axelon Services Corporation — Tacoma, WA | 100% Remote | Posted 19 Jul 2026
Ensures HEDIS data accuracy and reporting through investigation, auditing, and improvement opportunities; manages the HEDIS project timeline and vendor oversight...
Contract, DOE
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Risk Adjustment
Risk Adjustment Coding Specialist
LRH Medical Center — Lakeland, FL | Remote | Posted 9 Jul 2026
Reviews and analyzes medical records against health assessments for accurate HCC and diagnostic coding. Maintains current HEDIS/HCC knowledge...
$29.21 – $36.51 per hour
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Risk Adjustment
Remote Risk Adjustment Coder (CPC/CCS) — Data Expert
Blue Cross & Blue Shield of Rhode Island — Providence, RI | Remote | Posted 30 Jun 2026
Performs medical record reviews to ensure accurate risk-adjustment payments for Medicare Advantage members; validates codes and audit results...
$65,600 – $98,400 per year
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Risk Adjustment
Certified Medical Record Coder
Blue Cross and Blue Shield of Alabama — Birmingham, AL | Remote | Posted 3 Jul 2026
Applies ICD-9/10, CPT, and CMS coding principles with a focus on Risk Adjustment and HEDIS knowledge. CRC or CPC preferred...
Salaried, DOE
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Medical Coder
Certified Medical Coder — Multiple Specialties
HCCS — Nationwide | Remote | Posted 17 Jul 2026
Direct-hire W-2, fully remote coding roles across Family Medicine, Internal Medicine, RHC, Orthopedic, Behavioral Health, and Oncology...
~$21 – $30 per hour
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Medical Coder
Remote Risk Adjustment Medical Coder
CSI — Nationwide | Remote | Posted 8 Jul 2026
Assigns ICD-10-CM codes mapped to risk adjustment models on Medicaid charts, with in-house QA mentoring and paid training...
$22 – $28 per hour
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Quality
Quality Improvement Manager
WellSense Health Plan — Remote | Posted 19 Jul 2026
Leads and coordinates quality improvement performance measures and initiatives across a regional health plan's quality team...
Salaried, DOE
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Quality
Program Manager, Medicare Stars & Quality Improvement
Molina Healthcare — California | Remote in CA | Posted 9 Jul 2026
Generates and distributes Medicare Stars and HEDIS quality-improvement reporting; drives strong QI and Stars program performance...
Salaried, DOE
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Medical Coder
Medical Coder (CPC/CCS) — Acute Care Setting
Jobot — Remote (Alabama-based) | Posted 8 Jul 2026
Codes acute care inpatient and outpatient encounters for a growing health system; remote with Alabama residency preferred...
$55,000 – $75,000 per year
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Medical Coder
Remote Inpatient Medical Coder, CCS Certified (Per Diem)
Virtua — Clermont, NJ | 100% Remote | Posted 11 May 2026
Codes and abstracts hospital medical records across patient types; minimum two years of inpatient coding experience required...
$26.22 – $44.54 per hour
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Risk Adjustment
Remote Medical Coder — Risk Adjustment
Baltimore, MD | Remote | Posted 2 Jul 2026
Participates in clinical documentation improvement initiatives and complies with confidentiality and security policies across risk adjustment projects...
Hourly, DOE
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Medical Coder
Outpatient Coder / CDI Specialist (Contractor)
Ambience Healthcare — Remote | 1099 Contract | Posted 12 Jul 2026
Reviews outpatient encounters, analyzes clinical documentation, and determines accurate ICD-10-CM diagnosis codes for an AI clinical-documentation company...
Contract, DOE
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Medical Coder
HIM Coder — Remote/Mt. Holly (Per Diem), CCS Required
Virtua Health — Mt Holly, NJ | 100% Remote | Posted 13 Jul 2026
Codes and abstracts inpatient, observation, outpatient surgery, and ED records; collaborates with CDI staff to clarify documentation...
Per diem, DOE
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Medical Coder
Senior Inpatient DRG Coder — Remote
LCMC Health — Harahan, LA | Remote | Posted 5 Jul 2026
Determines MS-DRG and APC assignment and modifiers; communicates with clinical staff and CDI specialists on documentation issues...
Salaried, DOE
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Medical Coder
HIM Coder — Remote/Voorhees (Per Diem), CCS Required
Virtua Health — Voorhees Twp, NJ | Remote | Posted 14 Jul 2026
Codes and abstracts hospital medical records for diagnostic and procedural coding; maintains department-level productivity standards...
Per diem, DOE
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Medical Coder
Coder Specialist — Remote
Multi-state (IN, MI, IL, KS, OH, GA, KY, FL & more) | Remote | Posted 1 Jul 2026
Reviews, codes, and abstracts patient medical records; assigns DRGs and determines APC assignment on inpatient and outpatient records...
Salaried, DOE
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Medical Coder
Remote Inpatient Coder — Complex Case Specialist
Ochsner Health — Elmwood, LA | Remote | Posted 12 Jul 2026
Codes and abstracts complex hospital services and inpatient procedures; collaborates with CDI to secure correct DRG assignment...
Salaried, DOE
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Compliance
Medical Coding and Billing Compliance Auditor, Remote
Personalized Health Partners — Blue Ash, OH | Remote | Posted 17 Jul 2026
Reviews medical coding accuracy and documentation integrity; ensures compliance with federal, state, and payer coding guidelines...
Salaried, DOE
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Compliance
Medical Coding and Billing Compliance Auditor
Blue Ash, OH | Remote | Posted 16 Jul 2026
Extensive knowledge of CPT, ICD-10-CM, E/M, HCC methodologies, modifiers, telehealth, and HCPCS coding required for compliance reviews...
Salaried, DOE
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Compliance
Remote Medical Coding Compliance Auditor
Blue Ash, OH | Full-time Remote | Posted 15 Jul 2026
Performs coding audits and ensures compliance with regulations; requires a current coding credential and 3+ years outpatient coding experience...
Salaried, DOE
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Compliance
Remote Medical Coding Compliance Auditor
Pawleys Island, SC | Remote | Posted 9 Jul 2026
Conducts compliance audits of medical records per coding guidelines; requires 5+ years inpatient/outpatient coding and RHIA, RHIT, or CCS...
Salaried, DOE
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Compliance
Remote Inpatient Coding Compliance Auditor (ICD-10/CPT)
Linthicum, MD | Fully Remote | Posted 14 Jul 2026
Ensures accuracy and compliance of coding practices in inpatient and outpatient settings; conducts audits and provides coder education...
Salaried, DOE
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Compliance
Remote Medical Coding Auditor — Compliance Expert
Albuquerque, NM | Remote | Posted 20 Jul 2026
Audits medical records for coding compliance with a focus on E/M coding; CPMA certification required within 18 months of hire...
Salaried, DOE
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Compliance
Remote RN Coding Auditor | DRG/CDI Accuracy & Compliance
Northwell Health — New York | Remote | Posted 10 Jul 2026
Validates acute inpatient coded charts, reviews DRG code assignments, and conducts coding audits; RN license and NY residency required...
Salaried, DOE
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Quality
Quality Improvement Analyst (Remote)
Acentra Health — Remote | Posted 20 Jun 2026
Supports internal quality and process improvement; develops improvement plans, tracks performance, and leads data-driven initiatives...
$62,400 – $78,000 per year
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Risk Adjustment
HCC Coder (Remote)
Optima Medical — Arizona | Remote | Posted 6 Jul 2026
Performs medical record diagnosis code abstraction based on clinical documentation and ICD-10-CM official guidelines for a 30-location medical group...
Salaried, DOE
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Datavant — Santa Fe, NM | Remote | Posted 8 Jul 2026
Reviews and codes diagnostic information based on client guidelines; 95% coding accuracy required. AHIMA/AAPC credential needed...
Hourly + incentives
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Datavant — Juneau, AK | Remote | Posted 20 Jul 2026
Codes diagnostic information per ICD-10-CM and client guidelines; base pay plus per-chart incentive based on quality and production...
$19.60/hr + incentives
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Datavant — St. Thomas, VI | Remote | Posted 2 Jul 2026
Reviews and codes diagnostic information based on client-specific guidelines for CMS HCC risk adjustment programs...
Salaried, DOE
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Risk Adjustment
Senior Medical Coder (Remote) — ICD-10, CPT & HCC Expert
UNC Health Care — Eastowne, NC | Remote | Posted 15 Jul 2026
Precise coding and compliance with regulations; provides coding guidance to healthcare staff. CPC and CRC preferred...
$24.98 – $35.91 per hour
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Medical Coder
Medical Coder, Behavioral Health (E/M) (Remote)
Brellium — Remote | Posted 4 Jul 2026
Serves as internal authority on behavioral health E/M coding; reviews and validates coding recommendations for an AI health-tech company...
Salaried, DOE
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Quality
VP, Stars Pharmacy / Stars Population Health — Remote
Optum / UnitedHealth Group — Atlanta, GA | Remote | Posted 30 Jun 2026
Leads senior clinical directors and owns overall Stars Part D and clinical measure performance across an Optum Health business segment...
Salaried, DOE
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Quality
Senior Consultant, Payer Population Health — Remote
Optum — Eden Prairie, MN | Remote (US) | Posted 16 Jul 2026
Delivers clinically informed, data-driven population health solutions to payer clients across Medicare, Medicaid, and Commercial lines...
Salaried, DOE
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Quality
Senior Data Analyst — Quality Performance Analytics, National Remote
Optum — Eden Prairie, MN | National Remote | Posted 11 Jul 2026
Works with data contributing to clinical quality gap closures and Medicare Stars/HEDIS measure improvement; builds dashboards and models...
Salaried, DOE
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Quality
Manager, Business Analysis — Medicare Stars (Remote)
CVS Health / Aetna — Peoria, IL | Remote (US) | Posted 17 Jul 2026
Joins Aetna's Medicare Stars Web team as Senior Manager, Business Analysis, open to candidates located anywhere in the United States...
Salaried, DOE
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Risk Adjustment
Risk Adjustment Analyst II (Remote)
Remote — Full-time | Posted 7 Jul 2026
Compiles and analyzes member information to ensure Risk Adjustment Factor accuracy; requires solid SQL experience and CMS compliance knowledge...
Salaried, DOE
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Medical Coder
Provider Coding Education Specialist (Remote)
CU Medicine — Aurora, CO | 100% Remote | Posted 1 Jul 2026
Provides formal and informal coding and regulatory education to physicians, residents, and advanced practice providers...
Salaried, DOE
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Risk Adjustment
Remote Medical Coder Educator & Data-Driven Trainer
Humana — Soddy-Daisy, TN | Remote | Posted 13 Jul 2026
Identifies opportunities to improve provider documentation and crafts education plans for Medicare Risk Adjustment providers...
Salaried, DOE
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Medical Coder
Coding Educator (Remote)
SSM Health — Remote | Full Time | Posted 9 Jul 2026
Partners with providers and coders, leads training initiatives, and influences documentation and coding practices across the organization...
Salaried, DOE
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Compliance
Remote — Clinical Payment Integrity DRG Validator
ClarisHealth — Remote | Posted 16 Jul 2026
Combines RN and CIC/CCS expertise to validate DRG assignments and inpatient coding across MS-DRG and APR-DRG methodologies...
Salaried, DOE
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Compliance
Nurse Coder DRG Auditor I (US Remote)
TREND Health Partners — New York, NY | US Remote | Posted 27 Jun 2026
Reviews medical records and claim information to validate DRG assignment accuracy and medical necessity for inpatient level of care...
Salaried, DOE
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Risk Adjustment
Certified Risk Adjustment Coder — Remote
Remote — United States | Posted 5 Jul 2026
Abstracts provider services into ICD-10 codes; conducts concurrent, prospective, and retrospective reviews to support quality gap closure...
Salaried, DOE
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Risk Adjustment
Certified Risk Adjustment Coder — Remote
Monterey, CA | Remote | Posted 30 Jun 2026
Accurately abstracts provider services into ICD-10 codes from medical documentation, adhering to AAPC, AHIMA, and NAMAS coding ethics...
Salaried, DOE
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Risk Adjustment
Risk Adjustment Coding Specialist I or II (Remote)
San Gabriel Valley, CA | Remote | Posted 3 Jul 2026
Reviews provider documentation for Medicare Advantage, ACO, and Commercial risk adjustment; delivers education to providers on HCC coding...
Salaried, DOE
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Risk Adjustment
Risk Adjustment Coder
Bakersfield, CA | Remote | Posted 7 Jul 2026
Applies CMS HCC risk adjustment coding and data validation requirements; safeguards medical records and preserves HIPAA confidentiality...
Salaried, DOE
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Risk Adjustment
HCC Risk Adjustment Coder — Full Time — Remote
Datavant — Charleston, WV | Remote | Posted 21 Jul 2026
Reviews and codes diagnostic information per ICD-10-CM guidelines and client requirements; maintains 95% coding accuracy rate...
Salaried, DOE
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Medical Coder
Remote Certified Medical Coder (Entry-Level)
The CSI Companies — Nationwide | Remote | Posted 12 Jul 2026
Entry-level certified coder role supporting a Fortune 100 healthcare client, with additional home health and hospice coding openings listed...
Hourly, DOE
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Risk Adjustment
Nurse Medical Coder — Risk Adjustment (Remote)
Humana — Remote | Posted 4 Jul 2026
RN-credentialed coder enhances documentation and coding practices across risk adjustment; performs medical record reviews and validates compliance...
Salaried, DOE
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