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Flexible Hcc Risk Adjustment Jobs (NOW HIRING)

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

Risk-adjustment / HCC coding leader Type: Contract Compensation: $110/hour Location: Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid ...

Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP Quality Reporting PROFESSIONAL COMPETENCIES * Expertise in analytics, statistics, data visualization, or ...

Job Type Full-time Description This is a flexible CMS HCC/Risk Validation Audit role for a seasonal ... Minimum 5 years verifiable risk adjustment coding experience post certification * Must be able to ...

Risk Adjustment Director

Scotts Valley, CA · On-site

$96.15 - $120.19/hr

Expert knowledge of Medicare HCC risk adjustment models. * Working knowledge of CPT, HCPCS, and ICD-9/10 medical coding. * Familiarity with data analytical tools like SQL and visualization platforms ...

Risk Adjustment Coder

Denver, CO · Remote

$27.88 - $32.21/hr

HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy ... Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing ...

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Flexible Hcc Risk Adjustment information

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How much do flexible hcc risk adjustment jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for flexible hcc risk adjustment in the United States is $30.34, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $38.70 per hour, depending on experience, location, and employer.

What are some common challenges faced by professionals in Flexible HCC Risk Adjustment roles, and how can they be overcome?

Professionals in Flexible HCC Risk Adjustment often encounter challenges such as navigating complex medical records, staying updated with evolving coding guidelines, and managing varying workloads due to seasonal peaks in chart reviews. To overcome these, it's important to maintain strong attention to detail, pursue ongoing education in ICD-10-CM coding standards, and develop effective time management strategies. Collaboration with other coders, clinicians, and quality assurance teams also helps ensure accuracy and compliance, while flexible work arrangements can support work-life balance in this evolving field.

What is the difference between Flexible Hcc Risk Adjustment vs Hcc Coding Specialist?

AspectFlexible Hcc Risk AdjustmentHcc Coding Specialist
CredentialsCertifications in risk adjustment, coding, or healthcare complianceMedical coding certifications (CPC, CCS)
Work EnvironmentHealthcare organizations, insurance companies, risk adjustment teamsHospitals, clinics, medical billing companies
Industry UsageUsed in risk adjustment programs for Medicare Advantage, ACA plansUsed for medical record coding and billing
Search & ComparisonOften compared for understanding risk adjustment rolesCompared for coding accuracy and compliance

Flexible Hcc Risk Adjustment professionals focus on analyzing and managing risk scores for insurance plans, requiring knowledge of risk models and healthcare data. Hcc Coding Specialists primarily handle medical coding for billing and documentation. While both roles involve healthcare data, the former emphasizes risk management, and the latter emphasizes accurate coding for reimbursement.

What are the key skills and qualifications needed to thrive as an HCC Risk Adjustment Specialist, and why are they important?

To excel as an HCC Risk Adjustment Specialist, you need a solid understanding of medical coding (especially ICD-10), healthcare regulations, and risk adjustment methodologies, often supported by certifications like CRC (Certified Risk Adjustment Coder). Proficiency with electronic health record (EHR) systems, data analysis tools, and coding software is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for success in this role. These skills ensure accurate documentation and coding, which are vital for compliant risk score calculations and optimal reimbursement for healthcare organizations.

What is a Flexible HCC Risk Adjustment job?

A Flexible HCC Risk Adjustment job typically involves reviewing and analyzing medical records to ensure accurate coding of Hierarchical Condition Categories (HCC) for risk adjustment purposes. These roles are often remote or part-time, offering flexibility in work hours. The main objective is to help healthcare organizations comply with CMS guidelines and optimize reimbursements by accurately capturing patient diagnoses. Professionals in this field usually have backgrounds in medical coding, billing, or healthcare analytics.
More about Flexible Hcc Risk Adjustment jobs
What cities are hiring for Flexible Hcc Risk Adjustment jobs? Cities with the most Flexible Hcc Risk Adjustment job openings:
What are the most commonly searched types of Hcc Risk Adjustment jobs? The most popular types of Hcc Risk Adjustment jobs are:
What states have the most Flexible Hcc Risk Adjustment jobs? States with the most job openings for Flexible Hcc Risk Adjustment jobs include:
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 19 days ago


Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs

Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.


Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.

Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation

 

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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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