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From Home Hcc Risk Adjustment Coder Jobs in Texas

340B Health

Risk Adjustment Coder II

Houston, TX

$27.69 - $34.62/hr

Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

... from Harris County taxpayers. Job Profile JOB SUMMARY The Risk Adjustment Coder II provides ... advanced support for complex medical record reviews to ensure the correct capture of chronic ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

... from Harris County taxpayers. Job Profile JOB SUMMARY The Risk Adjustment Coder II provides ... advanced support for complex medical record reviews to ensure the correct capture of chronic ...

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Responsibilities: • Abstract pertinent information from patient medical records. Assign ...

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$21.50 - $29.25/hr

Codes all diagnoses and services accurately and completely, from the medical record in accordance ... Risk Adjustment / HCC knowledge required * Managed Care experience preferred

Vytwo

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

Oscar Health

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

While your daily work will be completed from your home office, occasional travel may be required ... Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in ...

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

... as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC ... Located in the Texas Medical Center, the hospital is the home of the Texas Heart ® Institute, a ...

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All JobsHcc Risk Adjustment Coder JobsFrom Home Hcc Risk Adjustment Coder JobsFrom Home Hcc Risk Adjustment Coder Jobs in Texas

From Home Hcc Risk Adjustment Coder information

What are From Home HCC Risk Adjustment Coders?

From Home HCC Risk Adjustment Coders are health information professionals who work remotely to review medical records and assign appropriate codes based on Hierarchical Condition Categories (HCC) for risk adjustment purposes. Their work ensures that healthcare providers receive accurate reimbursement from insurance companies, particularly Medicare Advantage plans. These coders must have a strong understanding of ICD-10-CM coding guidelines, clinical documentation, and risk adjustment models. Working from home allows for flexibility, but still requires strict attention to detail and adherence to privacy regulations.

Is HCC coding a good career?

HCC coding is a growing field within healthcare revenue cycle management, focusing on risk adjustment for insurance purposes. It requires attention to detail, knowledge of medical coding, and often involves remote work with certification in medical coding or risk adjustment. Many find it to be a stable and in-demand career option with opportunities for advancement.

What are some common challenges faced by From Home HCC Risk Adjustment Coders, and how can they be managed?

From Home HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and managing productivity without in-person supervision. To overcome these, coders should prioritize ongoing education, use reliable coding resources, and maintain clear communication with their remote team. Setting a structured daily routine and participating in virtual team check-ins can also help maintain focus and ensure consistent quality in code assignments.

How much does a certified risk adjustment coder make?

A certified risk adjustment coder typically earns between $50,000 and $80,000 annually, depending on experience, certification level, and geographic location. Experienced coders with advanced certifications and strong knowledge of coding and medical records can earn higher salaries, especially in healthcare settings with complex risk adjustment programs.

How much do risk adjustment coders make?

Risk adjustment coders typically earn between $50,000 and $75,000 annually, depending on experience, certifications, and location. In Texas, salaries generally align with this range, with some positions offering higher pay for specialized skills or remote work opportunities.

How much do HCC coders make in the US?

HCC (Hierarchical Condition Category) risk adjustment coders in the US typically earn between $50,000 and $80,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS and strong knowledge of medical coding and risk adjustment principles can earn higher salaries, especially in healthcare hubs or remote work environments.

What are the key skills and qualifications needed to thrive as a From Home HCC Risk Adjustment Coder, and why are they important?

To thrive as a From Home HCC Risk Adjustment Coder, you need a thorough understanding of ICD-10-CM coding, risk adjustment models, and medical terminology, usually backed by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Strong attention to detail, time management, and self-motivation are vital soft skills for ensuring accuracy and productivity while working independently. These skills are crucial for maintaining compliance, optimizing reimbursement, and ensuring data integrity in a remote environment.
What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Texas? The most popular types of Hcc Risk Adjustment Coder jobs in Texas are:
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From Home Hcc Risk Adjustment Coder jobs near you
Infographic showing various From Home Hcc Risk Adjustment Coder job openings in Texas as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.
Risk Adjustment Coder II

Risk Adjustment Coder II

340B Health

Houston, TX

$27.69 - $34.62/hr

Full-time

Posted 9 days ago

Job description

Job Number: 180041, Job Title: Risk Adjustment Coder II, Salary: $27.69 - $34.62 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 patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization. JOB SPECIFICATIONS AND CORE COMPETENCIES Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare risk adjustment programs. Conduct thorough clinical documentation review to ensure sufficient support and management for coded conditions. Identify opportunities to improve documentation and coding accuracy; provide analysis and recommendations for improvement to leadership. Consistently meet productivity and quality standards as outlined by supervisor. Ensure coding compliance by following the Official Coding Guidelines, HHS-RADV Protocols, and attending REGTAP calls. Stay current with coding standards, risk adjustment methodologies, and CMS Regulatory changes to ensure ongoing compliance and optimal coding practices. Actively contribute to achievement of departmental goals, as identified in Department's annual business plan, including specific departmental process improvement plans, and other duties as assigned. QUALIFICATIONS Education/Specialized Training/Licensure Bachelor's Degree or 5 or more years of experience in risk adjustment in lieu of degree in managed care organization required. AHIMA/AAPC Certified Coder, Medical Billing and Coding certification required (CPC, CRC, COC, CCS, CCS-P, or any combination of listed certifications) required. Associate or bachelor's degree preferred. Work Experience (Years and Area) 3-5 years' experience in Commercial or Medicare risk adjustment coding required. Clinical documentation improvement experience for inpatient and outpatient preferred. Experience within a managed care organization preferred. Management Experience (Years and Area) N/A Some management experience preferred. Software Proficiencies Microsoft 365 (Word, Excel, Outlook, SharePoint, Teams) Other Strong analytical skills Strong written and verbal skills Strong interpersonal skills Solid knowledge of ACA, Medicaid, and Medicare Risk Adjustment #J-18808-Ljbffr

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