# Risk Adjustment Coordinator/ HCC Coding Specialist

> Staffing for Doctors · Philippines (Remote) · Full-time · Posted 2026-08-24

**Workplace:** remote

**Department:** Medical Billing

## Description

We are seeking a detail-oriented and analytical **HEDIS & MRA Patient Coordinator** to support our client's Primary Care practice across three locations in Florida. The ideal candidate has deep hands-on experience in a U.S. Primary Care setting, managing HEDIS quality gap workflows, applying Medicare Risk Adjustment (HCC/ICD-10) coding logic, and conducting proactive outbound patient scheduling to ensure comprehensive clinical care and payer compliance.

**Key Responsibilities:**

**Gap Report Reconciliation:** Pull, read, and cross-reference payer gap/quality reports from portals (e.g., Availity, Humana, Florida Blue) against EMR patient charts.

**Proactive Patient Outreach:** Conduct outbound phone calls to schedule overdue preventive care visits, including annual wellness exams, mammograms, Pap smears, and colorectal cancer screenings.

**EMR Chart Alerts:** Enter clinical alerts, reminders, and messages directly into patient charts so providers order the correct diagnostic tests and document active conditions at the point of care.

**MRA & HCC Recapture:** Apply HEDIS measure logic and ICD-10 linking knowledge to track chronic condition recaptures, accurately link complications, and close care gaps annually.

**Compliance Tracking:** Monitor clinic-wide progress to ensure ongoing compliance with Medicare Advantage and value-based care quality benchmarks.

## Requirements

-   **Primary Care Experience:** Minimum 2+ years of experience working directly in a U.S. Primary Care or Family Medicine practice.
-   **Technical Knowledge:** Strong working knowledge of HEDIS measures, Medicare Risk Adjustment (MRA), Hierarchical Condition Category (HCC) coding, and ICD-10 diagnosis linking.
-   **Communication:** Clear, professional, and articulate spoken and written English.
-   **Outbound Outreach:** Comfortable and confident making outbound patient calls to encourage and schedule preventive care appointments.
-   **Software Proficiency:** Familiarity with Electronic Health Records (eClinicalWorks/eCW or eMedicalPractice preferred) and VOIP platforms (RingCentral preferred).

**Please note that this is a full-time contractor position (40 hours per week) with a starting pay rate of $6 per hour depending on skill set and experience. The schedule is Monday through Friday, 8:30 AM - 5PM EST.**

## Apply

[Apply at Staffing for Doctors](https://apply.workable.com/staffing-for-doctors/j/5C81BC37BF/apply)

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