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Flexible Hcc Risk Adjustment Jobs (NOW HIRING)

Pedim

HCC Coder

Lecanto, FL · On-site

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Urrly

Telehealth Nurse Practitioner

Saint Louis, MO · Remote

$600 - $720/day

Document HCC risk adjustment during patient visits * Close HEDIS (quality measures) care gaps ... Flexible scheduling based on availability * Fully remote telehealth delivery * No on-call and no ...

Urrly

Telehealth Nurse Practitioner

Des Moines, IA · Remote

$600 - $720/day

Document HCC risk adjustment during patient visits * Close HEDIS (quality measures) care gaps ... Flexible scheduling based on availability * Fully remote telehealth delivery * No on-call and no ...

Honest Health

Sr. Risk Adjustment Auditor

$82K - $101K/yr

Your Role The Risk Adjustment Auditor is a key contributor within the Clinical Documentation ... Identify coding inaccuracies, unsupported diagnoses, missed HCC opportunities, and documentation ...

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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.
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Flexible Hcc Risk Adjustment jobs near you

HCC Coder

Pedim

Lecanto, FL • On-site

Full-time

Medical, Life, Retirement, PTO

Re-posted 13 days ago

Job description

Job Type
Full-time
Description
Join the Team at PedIM Healthcare!
Delivering exceptional care, together.
Who We Are
PedIM Healthcare is the first private medical office of its kind in Citrus County - offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, women's care, medical weight-loss, sleep-medicine services and more.
Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County.
Why Work With Us?
  • A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties.
  • A values-driven environment: we listen, we help, we understand-and we care.
  • Community-oriented and recognized: voted "best of the best" in the region.
  • Opportunity to make a meaningful impact by supporting patients over their full life span-from children to seniors.
  • A workplace committed to employee development and delivering holistic care.

The Role
We are seeking a proactive and compassionate HCC Coder to join our Primary Care team!
This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance with CMS guidelines while supporting high-quality patient outcomes. You will be responsible for reviewing medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy.
What You'll Do:
  • Conduct pre-visit and chart reviews to identify known and suspected RAF/HCC conditions prior to patient appointments
  • Conduct post-visit chart reviews to ensure all RAF/HCC opportunities have been captured by the medical provider prior to claims submission/billing
  • Conduct post claims submission reconciliation from payer to ensure all codes have been properly accounted for through files such as MOA004, MOR and MMR
  • Review provider documentation and assign accurate ICD-10 and HCC codes
  • Identify documentation gaps and provide clear, actionable feedback to providers
  • Track coding trends and identify performance improvement opportunities
  • Collaborate closely with Clinical Integrity, Outreach, and Provider Teams
  • Maintain established productivity and quality benchmarks
  • Stay current with CMS risk adjustment guidelines and regulatory updates

Requirements
Qualities That Make You A Great Fit:
  • 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, CCS, or equivalent)
  • Proven experience with chart audits and provider education
  • Experience performing pre and post -visit RAF reviews preferred
  • Strong analytical skills and attention to detail
  • Experience with EHR systems required
  • Value-based care experience strongly preferred

Benefits Available To You:
Joining our team means more than just a job-it means access to benefits designed to support your health, well-being, and work-life balance.
  • Health coverage + Sick-N-Well membership
  • Health Savings Account (HSA)
  • Life insurance
  • Paid time off
  • 401(k) plan + 4% company match
  • Relax Scofa membership
  • Employee Assistance Program (EAP)
  • Employee Recognition Program
  • And more!

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks, verification of credentials, and compliance with health and safety requirements.
Compliance & Equal Opportunity Notice
PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws. We believe every team member deserves a workplace built on respect, fairness, and opportunity.
We do not discriminate on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable law.
In alignment with the Americans with Disabilities Act (ADA), PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.
Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks, credential verifications, and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.
We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.
EOE
PM20

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