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Freelance Hcc Risk Adjustment Coder Jobs in New York

Mercor

CDI Leader - Clinical Documentation

New York, NY · Remote

$84/hr

Experience with HCC risk adjustment and outpatient CDI programs. * Background in RN , RHIA , CCS , or similar clinical or coding credential. * Familiarity with AI-assisted CDI tools (e.g., Nuance DAX ...

Stanford Health Care

Physician Educator III

Newark, NJ · On-site

$44.13 - $57.36/hr

... risk adjustment methodologies. * Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. * Evaluating medical records to verify that ...

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Freelance Hcc Risk Adjustment Coder information

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 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 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 New York? The most popular types of Hcc Risk Adjustment Coder jobs in New York are:
What are popular job titles related to Freelance Hcc Risk Adjustment Coder jobs in New York? For Freelance Hcc Risk Adjustment Coder jobs in New York, the most frequently searched job titles are:
What job categories do people searching Freelance Hcc Risk Adjustment Coder jobs in New York look for? The top searched job categories for Freelance Hcc Risk Adjustment Coder jobs in New York are:
What cities in New York are hiring for Freelance Hcc Risk Adjustment Coder jobs? Cities in New York 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 New York as of July 2026, with employment types broken down into 84% Full Time, 7% Part Time, and 9% Contract. Highlights an 33% In-person, and 67% Remote job distribution.

Manager of Risk Adjustment Analytics

Village Care

Manhattan, NY • On-site

$135K - $152K/yr

Full-time

Posted 2 days ago

New

Job description

Position:Manager of Risk Adjustment Analytics
Location: Hybrid (Must Reside in NY/NJ/CT)
Work Schedule: Monday - Friday, 9:00am - 5:00pm
Compensation: $135,292.44 - $152,204.00 Annual Salary
Our Organization
VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services.
Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.
Scope of the Role
The Manager of Risk Adjustment Analytics strengthens VillageCare Max's ability to monitor and improve performance in shared savings arrangements across Medicare Advantage, Medicaid, commercial, and traditional Medicare. This role exists to translate complex risk adjustment and value-based care data into clear insights that guide forecasting, operational decisions, and improvement priorities.
Key responsibilities include leading risk adjustment analytics with an initial emphasis on Medicare Advantage and Medicare; tracking risk-score movement and flagging anomalies; applying expert knowledge of CMS/HCC methodology and claims-based data; building dashboards and concise reporting for internal and external stakeholders; and collaborating with Performance, Finance, and data engineering teams to ensure data is reliable and analysis-ready.
Required qualifications:
- 6-10 years in risk adjustment and/or healthcare analytics
- Deep expertise in Medicare Advantage risk adjustment, HCC modeling, and CMS methodologies
- Strong knowledge of value-based care contracts, policy, operations, and financial methods
- Proficiency with SAS, SQL, and data mining tools
- Bachelor's degree required (Master's preferred)
If you're ready to deliver rigorous analytics that informs action, apply today.
A Typical Workday
Your day is structured around focused analysis time and cross-functional touchpoints. You may start by reviewing updated risk score outputs and trend views, then align with Performance and Finance partners on what leaders need explained or forecasted for upcoming contract discussions. Midday often includes refining visualizations so insights are easy to interpret, followed by working sessions with data ingestion and engineering to validate claims availability and resolve data questions before conclusions are shared.
As the day progresses, you synthesize findings into a clear narrative-what changed, why it matters, and what actions are implied-then prepare materials for stakeholder readouts. In this fast-paced environment, you balance detail-oriented validation with timely delivery, supporting VillageCare Max's learning and improvement across shared savings programs.

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