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Freelance Hcc Risk Adjustment Coder Jobs in Colorado

Centerwell

Risk Adjustment Coding Analyst

Denver, CO · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support ...

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Freelance Hcc Risk Adjustment Coder information

What is a freelance HCC risk adjustment coder?

A Freelance HCC Risk Adjustment Coder is a healthcare professional who works independently to review medical records and assign appropriate ICD-10 codes based on Hierarchical Condition Categories (HCC). Their work supports accurate risk adjustment for insurance plans, particularly Medicare Advantage, by ensuring that patient diagnoses are properly documented and coded. This helps health plans receive correct reimbursement for the care of high-risk patients. Freelance coders have the flexibility to work with multiple clients and often work remotely.

What are the key skills and qualifications needed to thrive as a freelance HCC risk adjustment coder?

To thrive as a Freelance HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM classification, and risk adjustment models, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with Electronic Health Record (EHR) systems, coding software, and payer-specific risk adjustment platforms is essential. Attention to detail, time management, and strong analytical and communication skills help you accurately review records and collaborate with healthcare providers. These skills ensure precise coding, optimize reimbursement, and maintain compliance in a remote, deadline-driven environment.

How does a freelance HCC risk adjustment coder typically collaborate with healthcare providers and coding teams remotely?

As a Freelance HCC Risk Adjustment Coder, you will often work independently but maintain regular communication with healthcare providers, auditors, and coding managers through secure online platforms, emails, or virtual meetings. You may be responsible for clarifying documentation, discussing complex coding scenarios, and providing feedback to providers to ensure accurate risk adjustment coding. Effective collaboration and clear communication are essential to resolve discrepancies and maintain compliance with regulatory standards. Most clients provide access to their electronic health record (EHR) systems and expect timely deliverables, so strong organizational and time management skills are important.

What is the difference between Freelance Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectFreelance Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsCertifications in medical coding, HCC coding experienceCertifications in medical coding, HCC coding experience
Work EnvironmentRemote, independent contractingTypically employed by healthcare organizations or coding companies
Employer & Industry UsageFreelance platforms, independent practiceHospitals, insurance companies, healthcare providers
Search & Comparison IntentLooking for freelance opportunities or contract workSeeking full-time or staff coding roles

Both roles require similar certifications and skills in HCC coding. The main difference is that a Freelance Hcc Risk Adjustment Coder works independently on a contract basis, often remotely, while an Hcc Risk Adjustment Coder is typically employed full-time by healthcare organizations. Your choice depends on your preferred work environment and employment type.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Colorado?

The most popular types of Hcc Risk Adjustment Coder jobs in Colorado are:

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For Freelance Hcc Risk Adjustment Coder jobs in Colorado, the most frequently searched job titles are:

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The top searched job categories for Freelance Hcc Risk Adjustment Coder jobs in Colorado are:

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Cities in Colorado with the most Freelance Hcc Risk Adjustment Coder job openings:

Freelance Hcc Risk Adjustment Coder jobs near you
Infographic showing various Freelance Hcc Risk Adjustment Coder job openings in Colorado as of August 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 58% In-person, and 42% Remote job distribution.

Program Manager, Risk Adjustment & Stars

Denver, CO • On-site, Remote

Alpine Physician Partners
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Alpine Physician Partnersexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

Are you looking to work for a company that has been recognized for over a decade as a Top Place to Work? Apply today to become a part of a company that continues to commit to putting our employees first.
Job Description:
OVERVIEW OF POSITION:
The Program Manager, Risk Adjustment & Stars, serves as the connective link between Alpine's technical teams (coding, data, analytics, IT) and its operational and business stakeholders (leadership, quality, health plan operations) for risk adjustment and Star Ratings performance. This role translates technical details, such as data pipelines, coding logic, and CMS methodology, into operational plans, priorities, and decisions, while ensuring operational requirements and business goals are reflected back into the technical work. The role does not require direct provider-facing engagement.
ESSENTIAL DUTIES:
Program Management
  • Owns the annual risk adjustment and Stars improvement program cycle, coordinating between technical teams and operational/business stakeholders across prospective and retrospective programs, visit-based campaigns, and gap closure workflows.
  • Builds and manages program timelines and throughput; reports progress to Alpine leadership and health plan partners in clear, business-friendly terms.
  • Leads cross-functional workgroups spanning coding/HCC teams, clinical quality, IT, and analytics, ensuring technical work stays aligned to operational priorities.
  • Manages program-level documentation and requirements, translating between technical specifications and operational plans.
Risk Adjustment
  • Acts as the liaison between coding/data teams and operational stakeholders on HCC capture workflows, chart review pipelines, and gap identification, ensuring both sides understand priorities and constraints.
  • Manages relationships with vendors, coordinating technical file exchange and integration needs with operational timelines and expectations.
  • Monitors RAF score trends and performance results, working with analytics teams to interpret findings and translates them into operational action plans.
  • Coordinates risk adjustment data submission accuracy and reconciliation (EDS), connecting technical issue resolution with business and health plan deadlines.
  • Tracks HCC model version transitions (e.g., CMS-HCC V24/V28) and communicates their operational and financial impact to leadership and business teams.
Stars & Quality
  • Coordinates Alpine's Star Ratings strategy across HEDIS, CAHPS, HOS, and medication adherence measures, connecting technical measure logic with operational execution.
  • Partners with analytics teams to maintain measure-level performance tracking and cut-point modeling, translating results into operational priorities and gap closure plans.
  • Serves as one point of contact for Alpine with health plan Stars/quality teams, bridging technical data exchange requirements with operational and contractual needs.
Analytics & Reporting
  • Partners with analytics and data teams to define KPIs and dashboards for RAF accuracy, coding gap closure rates, and Star measure performance, ensuring outputs are operationally useful.
  • Translates CMS methodology updates (HCC model version changes, Star Ratings technical notes, measure weighting changes) for both technical teams (as specifications) and operational teams (as business impact).
  • Helps identify and escalate data integrity issues across source systems (claims, EHR, supplemental data feeds), coordinating resolution between technical and operational owners.
  • Presents performance results and program recommendations to Alpine executive leadership and payer partners.
Compliance & Governance
  • Ensures all program activities comply with CMS regulations, ICD-10-CM coding guidelines, and Alpine's compliance policies.
  • Supports RADV audit readiness and health plan data validation requests, coordinating between technical teams pulling data and operational/compliance teams managing the response.

EDUCATION:
Bachelor's degree in health informatics, data analytics, healthcare administration, business, or related field (Master's preferred).
EXPERIENCE:
Five (5) to seven (7) years of experience in Medicare Advantage risk adjustment and/or Star Ratings/quality improvement, ideally within a value-based care (VBC) setting.
Preferred Qualifications
• Certified Risk Adjustment Coder (CRC) credential.
• Experience with value-based care, ACOs, or delegated risk arrangements.
• Familiarity with multiple health plan Stars/quality programs and data exchange requirements.
• PMP or similar certification.
KNOWLEDGE, SKILLS, ABILITIES:
  • Working knowledge of CMS HCC risk adjustment models, RAF score methodology, EDS submission processes, and Star Ratings measure specifications.
  • Demonstrated ability to work effectively with both technical teams (data, analytics, IT) and operational/business stakeholders, translating between the two.
  • Proven program/project management experience managing cross-functional initiatives involving both technical and operational workstreams.
  • Working proficiency in Excel required; familiarity with SQL, Tableau, Power BI, or similar tools a plus.
  • Strong written and verbal communication skills, with the ability to translate technical and regulatory detail for operational and executive audiences.
  • Skilled at translating between technical and operational audiences, comfortable in both worlds without needing to be a deep technical expert.
  • Strong relationship management and cross-functional collaboration skills.
  • Analytical and detail-oriented, able to interpret data and technical findings and turn them into operational plans.
  • Adaptable to evolving CMS methodology and health plan requirements.
    • Able to travel to meetings
    • Ability to handle multiple demands concurrently in a high stress environment; organize, coordinate, set priorities and meet deadlines
    • Home office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures

Salary Range:
Salary Range: $83,990.40-$119,974.40
Additional Compensation: Eligible for annual bonus based on individual and/or company performance.
Benefits: Includes medical, dental, and vision insurance; 401(k); paid time off (PTO); and Employee Assistance Program (EAP)
Application Deadline: Open until filled. Applications will be reviewed on a rolling basis.
How to Apply: Apply via careers page at https://alpinephysicians.wd1.myworkdayjobs.com/external

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