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Flexible Hcc Risk Adjustment Jobs (NOW HIRING)

Regal Medical Group, Inc.

$33 - $36/hr

The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance ... Flexible Spending Account (FSA) * Employer-Paid Life Insurance * Employee Assistance Program (EAP)

Regal Medical Group, Inc.

$25 - $27/hr

The HCC Risk Adjustment/Auditor is responsible for maintaining and monitoring the Quality Assurance ... Flexible Spending Account (FSA) * Employer-Paid Life Insurance * Employee Assistance Program (EAP)

Regal Medical Group

SR. HCC Coder

West Hills, CA · On-site

$30 - $33/hr

Risk Adjustment Auditors collaborate with the Manager to provide expertise in the use and ... Flexible Spending Account (FSA) * Employer-Paid Life Insurance * Employee Assistance Program (EAP)

Strive Health

Risk Adjustment Coder

Denver, CO · On-site +1

$19.25 - $25.75/hr

... flexible spending accounts. * Financial & Retirement Support - Competitive compensation with a ... HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy ...

Strive Health

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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$14

$30

$74

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

As of Jun 22, 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.
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Flexible Hcc Risk Adjustment jobs near you
Infographic showing various Flexible Hcc Risk Adjustment job openings in the United States as of June 2026, with employment types broken down into 3% Locum Tenens, 9% As Needed, 61% Full Time, 9% Part Time, 5% Temporary, and 13% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $63,100 per year, or $30.3 per hour.
HEALTH CODER - HCC & RISK ADJUSTMENT

HEALTH CODER - HCC & RISK ADJUSTMENT

North East Medical Services

Burlingame, CA • On-site

$42.79 - $48.75/hr

Other

Posted 7 days ago

Job description

The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance.
ESSENTIAL JOB FUNCTIONS:
  • HCC Coding and Risk Adjustment (RA) Program Support
    • Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with HCC and risk adjustment guidelines.
    • Ensure all coding adheres to CMS and ICD-10 guidelines, focusing on accuracy, completeness, and compliance.
    • Conduct prospective and retrospective chart audits to assess risk adjustment coding accuracy.
  • Provider Training and Clinical Documentation Improvement (CDI)
  • Develop and deliver provider education sessions and materials on best practices for clinical documentation and HCC/RA coding.
  • Provide one-on-one and group training to providers and clinical staff to improve documentation quality and accuracy.
  • Serve as a resource and subject matter expert on HCC, risk adjustment, and related coding standards.
  • Data Analysis and Reporting
    • Analyze coding data to identify trends, documentation gaps, and opportunities for improvement.
    • Generate reports and dashboards to track coding performance and documentation accuracy.
    • Collaborate with the Quality and Analytics teams to optimize risk adjustment processes.
  • Compliance and Continuous Improvement
    • Stay up to date with changes in coding, risk adjustment, and Medicare regulations.
    • Assist in the development and implementation of internal coding policies and procedures.
    • Participate in quality improvement initiatives related to coding and documentation.
    • Performs other job duties as required by manager/supervisor

  • Education & Certification:
    • BS/BA Degree in Health Science or General Education is required.
    • Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent coding certification is required.
    • Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred.
  • Experience:
    • Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare Advantage programs.
    • Experience in provider education, clinical documentation improvement (CDI), and chart audits.
    • Previous experience working in an IPA, managed care organization, or similar setting is strongly preferred.
  • Skills & Competencies:
    • Excellent communication, presentation, and interpersonal skills.
    • Strong understanding of CMS guidelines for Medicare Advantage and risk adjustment program.
    • Exceptional knowledge of ICD-10-CM coding and HCC risk adjustment coding methodologies.
    • Proficiency in electronic health records (EHR) and coding software.
    • Strong analytical and problem-solving skills.

LANGUAGE:
  • Must be able to fluently speak, read and write English.
  • Fluency in other languages is an asset.

STATUS:
  • This is an FLSA Non-exempt position.
  • This is not an OSHA high-risk position.
  • This a full-time position.

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