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Freelance Hcc Risk Adjustment Coder Jobs in Houston, TX

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

DaMar Staffing

Value Based Coder II

Houston, TX · On-site

$18 - $23.75/hr

Value Based Coder IIInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

CommonSpirit Health

Value Based Coder II

Houston, TX · On-site

$18 - $23.75/hr

The Value Based Coder II is an experienced professional within the Quality Management/Risk team ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

St. Luke's Health

Value Based Coder II

Houston, TX · On-site +1

$25.30 - $35.74/hr

The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk ... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ...

Aston Carter

Risk Analyst

Houston, TX · Remote

Risk Adjustment Coding Oversight Specialist (Risk Analyst) This role focuses on retrospective chart review and coding oversight for highly regulated Medicare Advantage risk adjustment programs. You ...

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Freelance Hcc Risk Adjustment Coder information

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How much do freelance hcc risk adjustment coder jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for freelance hcc risk adjustment coder in Houston, TX is $21.41, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $22.93 per hour, depending on experience, location, and employer.

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 Houston, TX?

The most popular types of Hcc Risk Adjustment Coder jobs in Houston, TX are:

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

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The top searched job categories for Freelance Hcc Risk Adjustment Coder jobs in Houston, TX are:

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Freelance Hcc Risk Adjustment Coder jobs near you

Coding Quality Assurance (QA) Manager, Remote

Houston, TX • Remote

Aledade PBC
See more jobs at Aledade PBCexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

As a Coding Quality Assurance (QA) Manager, you will lead a high-performing team of QA Specialists at the intersection of clinical precision and operational excellence. You'll drive coding accuracy, build robust Standard Operating Procedures (SOPs), and ensure full audit readiness by evaluating documentation from both our internal CDI team and external partners. If you bring deep expertise in Risk Adjustment and Hierarchical Condition Categories (HCC) alongside a passion for mentoring talent and elevating compliance standards, this role offers a direct platform to shape our quality operations and make a measurable impact.
 
Candidates should be comfortable working remotely from anywhere within the US, across all US time zones.
Primary Duties
  • Team Leadership & Oversight: Lead, mentor, and manage a team of  QA Specialists. Establish team goals, monitor productivity, conduct regular performance reviews, and foster a culture of continuous learning.
  • Quality Audits: Oversee and perform comprehensive quality assurance reviews for coding completed by internal CDI staff and external vendor partners, ensuring compliance with official ICD-10-CM guidelines and risk adjustment models.
  • SOP & Guideline Development: Design, implement, and maintain standard operating procedures, audit workflows, scoring methodologies, and coding quality guidelines across the organization.
  • Payer Audit Support: Act as a key subject matter expert (SME) during external payer audits (e.g., RADV, Medicare, Commercial). Assist with chart selection, review, dispute documentation, and appeal responses.
  • Vendor Management: Evaluate third-party coding vendor accuracy rates against established SLAs. Deliver constructive feedback, identify trend errors, and drive corrective action plans when necessary.
  • Education & Feedback Loops: Translate QA audit findings into actionable insights. Provide structured feedback and target educational resources to internal CDI specialists and vendors to prevent recurring errors.
  • Other duties as assigned
Minimum Qualifications:
  • Bachelor’s Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required.
  • Minimum of 4 years of HCC coding experience with 2 years specifically focused on coding quality assurance, auditing, or compliance monitoring.
  • Active professional credentials from AAPC and/or AHIMA required (such as CRC, CCS, CPC, or CPMA).
  • Deep mastery of ICD-10-CM coding, CMS Risk Adjustment guidelines, RADV audit rules, and clinical documentation requirements.
Preferred KSA's:
  • CRC (Certified Risk Adjustment Coder)
  • Experience working within Value-Based Care (VBC) models, ACOs, or Advantage plans.
  • Prior experience managing small teams or leading vendor oversight programs.
  • Exceptional leadership, communication, and organizational skills.
  • Proficiency with EHR systems and encoder software
Who We Are:
Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
 
What Does This Mean for You?
At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
 
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
 
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
 
At Aledade PBC, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
 
 

We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.Our Commitment to Authenticity. We use Endorsed, a fraud detection tool, to validate the authenticity of applications and protect against identity fraud. This ensures we are connecting with real people and allows us to prioritize genuine candidates.When you apply to a job on this site, the personal data contained in your application will be collected by Aledade PBC using Lever, a cloud services provider located in the United States. Lever is engaged by Aledade PBC to help manage its recruitment and hiring processes. For more information about how your personal data will be processed by Aledade PBC and any rights you may have, please review Aledade PBC’s Candidate Privacy Notice. By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicantsIf you have any questions about our privacy practices, please contact privacy@aledade.com.