Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: Coder 1/HCC Risk Adjustment.
United States Jobs Expertini

Urgent! Coder 1/HCC Risk Adjustment Job Opening In USA, USA – Now Hiring Cotiviti

Coder 1/HCC Risk Adjustment



Job description

Overview

Cotiviti drives better healthcare outcomes through data analytics.

Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare.

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

  • Ability to review medical records for accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial and Medicaid risk adjustment from various chart types (physician, facility, and non-facility).
  • May have special projects that will entail a full coding review.
  • Ability to code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA’s Coding Clinic and well as Cotiviti and client specific coding guidelines.
  • 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.
  • Ability to regularly and consistently achieve over 95% quality accuracy.
  • Appropriately communicate with management regarding workload, production expectations and deliverables.
  • Utilizes the 'Dispute Resolution' process when disagreement occurs related to a coding determination.
  • 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.
  • Quick learner with positive attitude.
  • Complete all responsibilities as outlined on annual Performance Plan.
  • Complete all special projects and other duties as assigned.
  • Qualifications

    Education: Minimum High School Diploma.

    Certifications: Nationally certified coder in good standing through AAPC or AHIMA (CRC, CPC, CCS, .

    Experience

  • Coder 1: 1-2 years’ experience in medical risk adjustment / HCC coding.
  • Experience in HCC record abstraction and coding requirements.
  • Knowledge, Skills & Abilities:

  • Demonstrated high level of quality accuracy and productivity in clinical coding work.
  • Adherence to official coding guidelines (including coding clinics, CMS, client specific guidelines and other regulatory compliance guidelines and mandates).
  • Excellent written and verbal communication skills with the ability to understand and explain complex information.
  • Strong knowledge of medical terminology and anatomy and physiology.
  • Skills in organization and time management.
  • Comfortable with computers and technology.
  • Must be able to work in a fast-paced environment.
  • Ability to manage and meet deadlines, adapt to changing priorities, flexible and open to new ideas.
  • Must be able to perform duties with or without reasonable accommodation.
  • Must participate in all required training.
  • Must abide by all HIPAA and associated patient confidentiality requirements.
  • This is a home-based position and requires individuals to work within the continental US, have a place to work that is free from distractions and have a high-speed internet connection.
  • This role is aligned to certain productivity and quality 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 $21.00 to $26.00 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

    Date of posting: 9/15/2025

    Applications are assessed on a rolling basis.

    We anticipate that the application window will close on 10/15/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

    #LI-SL1

    #junior 

    #LI-Remote



    Cotiviti is an equal employment opportunity employer.

    Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job.

    Selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy or pregnancy-related conditions, national origin, sexual orientation, gender identity, marital status, genetic carrier status, military service, veteran status, uniformed service member status, disability, or any other category of class protected by federal, state or local laws.

    All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.




    Pay Transparency Nondiscrimination Provision

    Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

    However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.

    41 CFR 60-I.35(c)


    Required Skill Profession

    Business Operations Specialists



    Your Complete Job Search Toolkit

    ✨ Smart • Intelligent • Private • Secure

    Start Using Our Tools

    Join thousands of professionals who've advanced their careers with our platform

    Rate or Report This Job
    If you feel this job is inaccurate or spam kindly report to us using below form.
    Please Note: This is NOT a job application form.


      Unlock Your Coder 1 Potential: Insight & Career Growth Guide


    • Real-time Coder 1 Jobs Trends in United States, United States (Graphical Representation)

      Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Coder 1 in United States, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 15226 jobs in United States and 169 jobs in United States. This comprehensive analysis highlights market share and opportunities for professionals in Coder 1 roles. These dynamic trends provide a better understanding of the job market landscape in these regions.

    • Are You Looking for Coder 1/HCC Risk Adjustment Job?

      Great news! is currently hiring and seeking a Coder 1/HCC Risk Adjustment to join their team. Feel free to download the job details.

      Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    • The Work Culture

      An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Cotiviti adheres to the cultural norms as outlined by Expertini.

      The fundamental ethical values are:
      • 1. Independence
      • 2. Loyalty
      • 3. Impartiality
      • 4. Integrity
      • 5. Accountability
      • 6. Respect for human rights
      • 7. Obeying United States laws and regulations
    • What Is the Average Salary Range for Coder 1/HCC Risk Adjustment Positions?

      The average salary range for a varies, but the pay scale is rated "Standard" in United States. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    • What Are the Key Qualifications for Coder 1/HCC Risk Adjustment?

      Key qualifications for Coder 1/HCC Risk Adjustment typically include Business Operations Specialists and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.

    • How Can I Improve My Chances of Getting Hired for Coder 1/HCC Risk Adjustment?

      To improve your chances of getting hired for Coder 1/HCC Risk Adjustment, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    • Interview Tips for Coder 1/HCC Risk Adjustment Job Success
      Cotiviti interview tips for Coder 1/HCC Risk Adjustment

      Here are some tips to help you prepare for and ace your job interview:

      Before the Interview:
      • Research: Learn about the Cotiviti's mission, values, products, and the specific job requirements and get further information about
      • Other Openings
      • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
      • Dress Professionally: Choose attire appropriate for the company culture.
      • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
      • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
      During the Interview:
      • Be Punctual: Arrive on time to demonstrate professionalism and respect.
      • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
      • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
      • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
      • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
      • Follow Up: Send a thank-you email to the interviewer within 24 hours.
      Additional Tips:
      • Be Yourself: Let your personality shine through while maintaining professionalism.
      • Be Honest: Don't exaggerate your skills or experience.
      • Be Positive: Focus on your strengths and accomplishments.
      • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
      • Turn Off Phone: Avoid distractions during the interview.
      Final Thought:

      To prepare for your Coder 1/HCC Risk Adjustment interview at Cotiviti, research the company, understand the job requirements, and practice common interview questions.

      Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Cotiviti's products or services and be prepared to discuss how you can contribute to their success.

      By following these tips, you can increase your chances of making a positive impression and landing the job!

    • How to Set Up Job Alerts for Coder 1/HCC Risk Adjustment Positions

      Setting up job alerts for Coder 1/HCC Risk Adjustment is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!