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Freelance Hcc Risk Adjustment Coder Jobs (NOW HIRING)

Datavant

Auditor, HCC Risk Adjustment Coding

$28 - $31.75/hr

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

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 ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

Job Profile JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a ...

PedIM Healthcare

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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

$29 - $32/hr

... HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment ...

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

As of Aug 26, 2026, the average hourly pay for freelance hcc risk adjustment coder in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 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.

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Freelance Hcc Risk Adjustment Coder jobs near you
Infographic showing various Freelance Hcc Risk Adjustment Coder job openings in the United States as of August 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 59% In-person, and 41% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.

Risk Adjustment Coder (Hybrid)

San Antonio, TX • On-site

Gonzaba Medical Group
Outpatient Health Care • 501 - 1,000 employees

5.6

Company rating: 5.6 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

Great coworkers

People enjoy working here

Paid breaks

Learn more about Gonzaba Medical Groupexternal

$19.50 - $26/hr

Full-time

Posted 8 days ago

Job description

General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation.
Supervisory Responsibilities: This position has no supervisory responsibilities.
General Requirements: All duties performed will be done accurately and in a timely manner.
  1. Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy.
  2. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers.
  3. Must always adhere to customer service expectations including in-person and virtual (via telephone, or telehealth applications) communication.
  4. Participates in other Managed care projects to include but not limited to marketing events, and Medicare Open enrollment period.
  5. Reviews reports to identify areas for improvement or needed action to meet departmental goals.
  6. Supports team members in all aspects of the Risk Adjustment process to ensure that defined timelines and departmental goals are met.
  7. Adhere to all confidentiality and HIPAA requirements as always outlined within Gonzaba Medical Group Operating Policies and Procedures in all ways and with respect to any aspect of the data handled or services rendered.
  8. Other duties as assigned.

Essential Job Responsibilities:
  1. Maintain compliance with Gonzaba Medical Group policies, Official Coding Guidelines and the Gonzaba Medical Group Coder's Pledge.
  2. Provides queries or technical guidance to physicians, clinical staff, and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to approved coding principles/guidelines data in the form of a query, email and or task.
  3. Accurately validate and abstract diagnosis codes from provider documentation in the patient medical record to ensure that reported ICD-10 codes are appropriately supported by the documentation.
  4. Selects correct ICD-10-CM (diagnostic), CPT (procedural) and HCPCS codes based upon interpretation of office visit and other documentation, correct coding principles, and clinical validation with a focus on accurate capture of all supported HCC diagnosis codes. Remains up to date on all coding changes and usage.
  5. Assesses qualifying notes for completion and/or identification of deficiencies; Communicates with provider/staff on elements to be addressed to ensure the note can be processed within the required timeline.
  6. Performs review of Risk Adjustment audits for accuracy and for data entry into the EMR.
  7. Utilizes nursing and coding knowledge to assist with review activities to support the Risk Adjustment process to include re-review of audit findings to ensure accuracy in documented HCC diagnoses and ICD-10 coding; review of various payer denial/rejection reports to identify areas for provider education.
  8. Completes required electronic forms necessary for submission of applicable acuity diagnosis codes based on scheduled appointments.

Education and Training: Minimum high school education or equivalent required. An active Coding Certification by AHIMA (RHIA, RHIT, CCS, CCS-P or CCA) or AAPC (CPC, CRC) is required. Graduation from an approved practical nursing program and state-licensed practical nurse preferred. CPR with AED certification required. All certifications are required as initial and continued employment at Gonzaba Medical Group.
Experience: 3+ years' experience in working with the Risk Adjustment (HCC) process preferred. Knowledge of ICD-10-CM, CPT, and HCPCS coding systems, guidelines, and rules. Knowledge of billing regulations, Managed Care insurance coverage limitations and protocols. Knowledge of medical terminology, medical procedures, human anatomy, and physiology.
Other Requirements: Computer Skills: Skilled in use of computer/EMR systems. Knowledge of Word processing software, spreadsheet software, Internet, and database software.
Work Environment: Depending upon the area assigned, may be 100% clinical setting or office setting in a clinical environment. Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.
Mental / Physical Requirements: Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to 40 lbs. without assistance. Close vision and ability to adjust focus. Must be able to work efficiently under pressure.
Additional Information: Gonzaba Medical Group is seeking team members who contribute as A-Players, demonstrate a strong work ethic, are committed to the culture and our core values.
Other Duties As Assigned: The above job description is not intended to be an all-inclusive list of duties and standards of the position. Team members will follow any other instructions, and perform any other related duties, as assigned by their supervisor. Responsibilities, knowledge, skills, abilities, and work environments may change as needs evolve

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