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Flex Schedule Hcc Risk Adjustment Coding Jobs (NOW HIRING)

Guidehouse

Remote Risk Adjustment Medical Coder

$44K - $74K/yr

High School Diploma or equivalent * 3+ years HCC Risk Adjustment Coding. * CPC or CRC certification from AAPC * EMR experience * Must maintain credential throughout employment * Strong working ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models * Active coding credential preferred (CRC, CPC ...

PedIM Healthcare

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models * Active coding credential preferred (CRC, CPC ...

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How much do flex schedule hcc risk adjustment coding jobs pay per hour?

As of Jun 24, 2026, the average hourly pay for flex schedule hcc risk adjustment coding in the United States is $20.67, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $22.36 per hour, depending on experience, location, and employer.

What is Flex Schedule HCC Risk Adjustment Coding?

Flex Schedule HCC Risk Adjustment Coding refers to a medical coding position where professionals review patient records to identify and code diagnoses according to Hierarchical Condition Category (HCC) guidelines. The 'flex schedule' aspect means coders can work non-traditional or adjustable hours, often remotely. HCC coding is critical for accurate risk adjustment in Medicare Advantage and other value-based care programs, directly impacting reimbursement for healthcare providers. Coders in this role need specialized knowledge of HCC models, ICD-10-CM coding, and often have a background in medical billing or coding certification.

What are the key skills and qualifications needed to thrive as a Flex Schedule HCC Risk Adjustment Coder, and why are they important?

To thrive as a Flex Schedule HCC Risk Adjustment Coder, you need strong knowledge of ICD-10 coding, risk adjustment models, and healthcare regulations, typically supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and audit tools is essential. Attention to detail, analytical thinking, and effective communication skills help coders accurately interpret medical records and collaborate with providers. These abilities ensure precise documentation and coding, which are crucial for compliant risk adjustment and proper reimbursement.

How does a flexible schedule impact teamwork and communication in HCC risk adjustment coding roles?

In HCC risk adjustment coding roles, a flexible schedule allows coders to manage their work-life balance, but it also requires strong communication and coordination with team members. Most teams use digital platforms and regular virtual meetings to stay connected, ensuring that questions are addressed promptly and coding standards are consistently applied. Being proactive in communication and diligent in updating shared documentation are key to overcoming challenges associated with non-traditional hours. Flexibility can enhance productivity, but success depends on clear expectations and reliable collaboration tools.

What is the difference between Flex Schedule Hcc Risk Adjustment Coding vs Medical Coding Specialist?

AspectFlex Schedule Hcc Risk Adjustment CodingMedical Coding Specialist
CertificationsHCC Risk Adjustment Certification, CPC or CCSCPC, CCS, or equivalent
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, physician offices
Job FocusRisk adjustment, data analysis, coding for Medicare AdvantageMedical record coding, billing, documentation

Flex Schedule Hcc Risk Adjustment Coders focus on risk adjustment coding for insurance purposes, often with flexible hours. Medical Coding Specialists handle medical record coding across various healthcare settings. While both require coding certifications, their work environments and job focuses differ, with HCC coders emphasizing risk data and Medical Coding Specialists concentrating on clinical documentation.

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Flex Schedule Hcc Risk Adjustment Coding jobs near you
Infographic showing various Flex Schedule Hcc Risk Adjustment Coding job openings in the United States as of June 2026, with employment types broken down into 7% As Needed, 44% Full Time, 5% Part Time, 3% Temporary, and 41% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $43,000 per year, or $20.7 per hour.

Risk Adjustment Coding Specialist II - Houston, Texas

Astrana Health

Houston, TX • Remote

$70K - $85K/yr

Full-time

Posted 17 days ago

Job description

We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Beaumont market.  In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You'll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! We are seeking candidates who reside in Houston and are able to travel to Beaumont on a monthly basis.

Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) 
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines 
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
  • Other duties as assigned
  • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification -  Certified Coding Specialist (CCS-P), CCS, or CPC.
  • At least 3 years of experience in risk adjustment coding and/or billing experience required
  • Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • Excellent presentation, verbal and written communication skills, and ability to collaborate 
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.
You're great for this role if:    
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
  • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Strong PowerPoint and public speaking experience
  • Ability to work independently and collaborate in a team setting
  • Experience with Monday.com
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting
  • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires monthly travel to Beaumont from Houston.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.    

Additional Information:     
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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