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Freelance Hcc Risk Adjustment Coder Jobs (NOW HIRING)

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · On-site +1

Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory guidelines for supporting ...

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · Remote

Job Duties: * Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment * Meet department production and quality standards * Research regulatory guidelines for supporting ...

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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 Jun 12, 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 are the key skills and qualifications needed to thrive as a Freelance HCC Risk Adjustment Coder, and why are they important?

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.

More about Freelance Hcc Risk Adjustment Coder jobs
What cities are hiring for Freelance Hcc Risk Adjustment Coder jobs? Cities with the most Freelance Hcc Risk Adjustment Coder job openings:
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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 June 2026, with employment types broken down into 84% Full Time, 8% Part Time, and 8% Temporary. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $46,638 per year, or $22.4 per hour.

RISK ADJUSTMENT FACTOR SPECIALIST (2566)

VIVANT HEALTH

Sacramento, CA • On-site

$28 - $34/hr

Full-time

Posted 19 hours ago

Job description

Job Summary:

The Risk Adjustment Factor (RAF) Specialist supports Vivant’s risk adjustment initiatives within the IPA’s Medicare Advantage line of business. This role ensures accurate and complete documentation and coding of diagnoses to optimize member Risk Adjustment Factor (RAF) scores, supporting quality patient care and accurate reimbursement under CMS guidelines. The RAF Specialist collaborates closely with providers, coders, and care management teams to identify opportunities for RAF improvement through education, chart reviews, and data analysis.

Responsibilities:

  • Review and analyze clinical documentation and diagnosis coding to ensure compliance with CMS-HCC (Hierarchical Condition Category) guidelines.
  • Monitor and report RAF score trends across assigned providers, physician groups, and Medicare populations.
  • Conduct retrospective and prospective chart reviews to identify coding gaps, suspected conditions, and missed opportunities.
  • Partner with provider offices to ensure accurate submission of encounter data and supplemental claims.
  • Work collaboratively with health plan and IPA coding teams to reconcile risk score discrepancies and validate data accuracy.
  • Support provider education programs on compliant documentation and coding practices (HCC, ICD-10, and CMS Risk Adjustment methodology).
  • Compile RAF performance dashboards and support audit and reconciliation processes related to Medicare risk adjustment.
  • Participate in outreach campaigns to ensure timely completion of annual wellness visits and other risk-capture opportunities.
  • Stay current with CMS updates, HCC model changes, and risk adjustment regulatory requirements.
  • Assist in developing workflow improvements for documentation, coding, and data submission.
  • Performs related duties consistent with the scope and intent of the position.
  • Regular attendance.
  • Travel as required.
  • Other Functions
  • Enforces Company policies and safety procedures.
  • Regularly updates job knowledge by participating in educational opportunities, reading professional publications, maintaining professional networks, and participating in professional organizations.
  • Maintain IPA, Health Plan compliance standards.

Competencies

  • Minimum of 2–3 years of experience in Risk Adjustment, HCC coding, or Medicare Advantage operations.
  • 2-3 years of Independent Physician Association (IPA) or health plan environment preferred.
  • Cozeva experience preferred.
  • Strong knowledge of ICD-10, HCC risk adjustment models, CMS guidelines, and Medicare Advantage programs.
  • Proficiency in EMR/EHR systems, risk adjustment analytics platforms, and Microsoft Office Suite (Excel, Power BI preferred).
  • Ability to analyze data, identify trends, and develop actionable insights.
  • Excellent communication, both oral and written, and interpersonal skills for provider education and collaboration.
  • Excellent attention to detail and ability to document information accurately.
  • Excellent active listening skills.
  • Ability to solve mid-level problems with minimal supervision.
  • Ability to multi-task, exercise excellent time management, and meet multiple deadlines.
  • Ability to provide and receive constructive job and/or industry related feedback.
  • Ability to maintain confidentiality and appropriately share information on a need-to-know basis.
  • Ability to exercise sound discretion and strict maintenance of confidentiality of all confidential and sensitive communications and information.
  • Ability to consistently deliver excellent customer service.
  • Self-motivated with strong organizational, multi-tasking, planning, and follow up skills.
  • Ability to work independently as well as in a team environment.
  • Ability to present self in a professional manner and represent the Company image.
  • Ability to effectively and positively work in a dynamic, fast-paced team environment and achieve objectives.
  • Demonstrate commitment to the organization’s mission.
  • Typing speed of 40 wpm or more is a plus.
  • Must have the ability to quickly learn and use new software tools.
  • Must have mid-level skills using e-mail applications.

Travel

  • The incumbent may travel up to 25% of the time.

Competencies

  • Minimum of 2–3 years of experience in Risk Adjustment, HCC coding, or Medicare Advantage operations.
  • 2-3 years of Independent Physician Association (IPA) or health plan environment preferred.
  • Cozeva experience preferred.
  • Strong knowledge of ICD-10, HCC risk adjustment models, CMS guidelines, and Medicare Advantage programs.
  • Proficiency in EMR/EHR systems, risk adjustment analytics platforms, and Microsoft Office Suite (Excel, Power BI preferred).
  • Ability to analyze data, identify trends, and develop actionable insights.
  • Excellent communication, both oral and written, and interpersonal skills for provider education and collaboration.
  • Excellent attention to detail and ability to document information accurately.
  • Excellent active listening skills.
  • Ability to solve mid-level problems with minimal supervision.
  • Ability to multi-task, exercise excellent time management, and meet multiple deadlines.
  • Ability to provide and receive constructive job and/or industry related feedback.
  • Ability to maintain confidentiality and appropriately share information on a need-to-know basis.
  • Ability to exercise sound discretion and strict maintenance of confidentiality of all confidential and sensitive communications and information.
  • Ability to consistently deliver excellent customer service.
  • Self-motivated with strong organizational, multi-tasking, planning, and follow up skills.
  • Ability to work independently as well as in a team environment.
  • Ability to present self in a professional manner and represent the Company image.
  • Ability to effectively and positively work in a dynamic, fast-paced team environment and achieve objectives.
  • Demonstrate commitment to the organization’s mission.
  • Typing speed of 40 wpm or more is a plus.
  • Must have the ability to quickly learn and use new software tools.
  • Must have mid-level skills using e-mail applications.

Education and Certification

  • High School Diploma or GED required.
  • Associate’s or Bachelor’s degree in Health Information Management, Health Administration, Nursing, or related field preferred.
  • Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or equivalent credential required.
  • Must have an active and unrestricted California Driver’s license.
  • Must have auto insurance and reliable transportation.

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