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Hcc Coders Jobs (NOW HIRING)

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Risk-adjustment / HCC coding leader Type: Contract Compensation: $110/hour Location: Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid ...

Cotiviti

Coder 1/HCC Risk Adjustment

$23 - $26.50/hr

We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 1) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: Responsibilities * Reviews ...

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required Education * High School Diploma required with submission Required Certifications Online certification ...

MedPOINT Management

HCC Coding Specialist

Sherman Oaks, CA · On-site

$75K - $95K/yr

MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented HCC Coding Specialist to join our growing team. This is an exciting opportunity to play a critical role in risk adjustment ...

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 with ...

Pedim

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 with ...

Virtix Health LLC

HCC Coding Quality Specialist (Auditor)

$28 - $31.75/hr

You will be auditing the global team of Risk Adjustment coders. All HCC/Risk Adjustment auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted ...

HealthCare Resolution Services

Medical Coder

Columbia, MD · Remote

$19.25 - $25.50/hr

As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for ...

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How much do hcc coders jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for hcc coders in the United States is $26.26, according to ZipRecruiter salary data. Most workers in this role earn between $20.91 and $29.81 per hour, depending on experience, location, and employer.

What are HCC Coders?

HCC Coders are healthcare professionals who review and analyze patient medical records to assign accurate Hierarchical Condition Category (HCC) codes. These codes are used primarily for risk adjustment in Medicare Advantage and other value-based care programs, ensuring that healthcare providers receive appropriate reimbursement based on the complexity of their patients' conditions. HCC Coders must have a thorough understanding of medical terminology, coding guidelines, and regulatory requirements. Their work helps ensure the integrity of healthcare data and compliance with government regulations.

What are the key skills and qualifications needed to thrive as an HCC Coder, and why are they important?

To thrive as an HCC Coder, you need a solid understanding of medical coding, risk adjustment, and healthcare regulations, typically supported by certifications such as CPC or CRC. Familiarity with coding software, electronic health records (EHRs), and ICD-10-CM coding systems is essential. Attention to detail, analytical thinking, and effective communication help ensure accurate code assignment and collaboration with healthcare providers. These skills are crucial for optimizing reimbursement, ensuring compliance, and maintaining data integrity in healthcare organizations.

What are some common challenges HCC Coders face in ensuring accurate and compliant coding?

HCC Coders often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and ensuring accurate risk adjustment coding for reimbursement purposes. Maintaining compliance with regulations while meeting productivity standards can be demanding, especially when documentation from providers is insufficient or unclear. Collaborating effectively with physicians and clinical staff is essential to clarify diagnoses and ensure all relevant conditions are captured for accurate coding.

What Does an HCC Coder Do?

An HCC coder, or hierarchical condition category coder, is someone who transcribes a patient’s medical history into a database using standardized codes. This includes diagnosis and treatment and is typically later used for insurance and medical billing purposes. As an HCC coder, you may go over a patient’s records to ensure accuracy and audit records and documentation to ensure the entering of codes was correct. You typically work in a hospital or other health care setting. There are several different jobs that fall into the HCC coder category, such as specialist, manager, trainer, auditor, and analyst.

What is the difference between Hcc Coders vs Medical Coders?

AspectHcc CodersMedical Coders
CertificationsHCC Coding Certification, Medical Coding CertificationCertified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentHospitals, clinics, insurance companiesHospitals, physician offices, outpatient facilities
Industry UsageRisk adjustment, insurance billingMedical billing, claims processing
Search & Comparison IntentFocus on risk adjustment and insurance codingFocus on medical billing and claims

Hcc Coders primarily focus on risk adjustment coding for insurance purposes, requiring specific certifications and working mainly in insurance-related environments. Medical Coders handle billing and claims in healthcare settings, with different certifications. While both roles involve coding, Hcc Coders specialize in risk adjustment, whereas Medical Coders focus on medical billing processes.

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HCC Coders jobs near you
Infographic showing various Hcc Coders job openings in the United States as of July 2026, with employment types broken down into 80% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 60% Physical, 1% Hybrid, and 39% Remote job distribution, with an average salary of $54,621 per year, or $26.3 per hour.

Remote - HCC / Risk Adjustment Medical Coders

Advantmed

Remote

$22/hr

Full-time

Posted yesterday

New

Job description

Job Title: HCC / Risk Adjustment Medical Coder
Location: Remote, US
Shift Hours: Applicant should be available to work from 6 AM to 6 PM EST.
Pay Rate: $22/hr.
Candidates must be available to commit to a minimum of 20 hours per week, Monday through Friday. Preference will be given to candidates who can commit to a full-time schedule of 40 hours per week.
Important: This position follows a Bring Your Own Device (BYOD) policy. Candidates must have a Windows-based laptop/desktop with Windows Professional Edition (Windows Pro) and a reliable high-speed internet connection. Systems running Windows Home Edition are not compatible with the security requirements for this role.
Job Summary: We are seeking experienced Medical Coders with a strong background in Risk Adjustment and Hierarchical Condition Category (HCC) coding. The ideal candidate will hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable. As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization.
Key Responsibilities:
  • Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines.
  • Ensure coding is consistent with ICD-10-CM, CMS-HCC, and other relevant coding guidelines.
  • Validate and ensure the completeness, accuracy, and integrity of coded data.
  • Identify and resolve coding discrepancies or discrepancies between clinical documentation and diagnosis coding.
  • Stay up-to-date with the latest coding guidelines, rules, and regulations related to Risk Adjustment and HCC coding.
  • Adhere to all compliance and HIPAA regulations to maintain data security and patient confidentiality.
  • Collaborate with healthcare providers, physicians, and other team members to clarify documentation and resolve coding queries.
  • Participate in coding education and training programs to enhance coding skills and knowledge.
  • Prepare and submit reports related to coding activities, coding accuracy, and any coding-related issues or trends.
  • Assist in internal and external coding audits to ensure the quality and compliance of coding practices.
  • Identify opportunities for process improvement and efficiency in the coding process.
  • Offer suggestions to enhance coding documentation and accuracy.

Requirements
Qualifications:
  • Minimum CPC or CCS certification from AHIMA or AAPC is required. Higher-level certifications such as CRC (Certified Risk Adjustment Coder) is a significant advantage. CPC-A (Apprentice) certification will not be considered for this position.
  • Minimum one to two years of experience in Risk Adjustment and HCC coding in a healthcare setting.
  • Strong knowledge of ICD-10-CM coding guidelines and CMS-HCC risk adjustment methodology.
  • Familiarity with electronic health record (EHR) systems and coding software.
  • Excellent attention to detail, analytical skills, and ability to work independently.
  • Strong communication and interpersonal skills for collaboration with medical professionals and team members.
  • Understanding of compliance and confidentiality regulations, including HIPAA.

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