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Hcc Risk Adjustment Coder Jobs (NOW HIRING)

Memorial Hermann

Risk Adjustment Coder-2

$23.25 - $31/hr

HCC Risk Adjustment experience required * Expertise in risk factor calculations * Possess computer ... Provides documentation and coding education to physician and their support staffing virtually or in ...

New

NORTHEAST COMMUNITY CLINIC

HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

NORTHEAST COMMUNITY CLINIC

HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

DaMar Staffing

HCC Coder

Yankeetown, FL · On-site

$13.50 - $18/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 ...

DaMar Staffing

HCC Coder

Bushnell, FL · On-site

$17.25 - $23/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 ...

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 ...

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 ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL · On-site

$20.50 - $27.75/hr

Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... risk adjustment coding * Demonstrates understanding of risk adjustment payment models * Uses ...

DaMar Staffing

HCC Coder

Alhambra, CA · On-site

$19.75 - $26.25/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

Northeast Community Clinic

Be Seen First

HCC Coder

Alhambra, CA · On-site

$34 - $39/hr

Attend weekly meetings and present HCC Risk Adjustment Coding Department feedback, including data analysis, summary details; provide work flows and worksheets as necessary. * Attend Coding and ...

Liberty Health

RISK ADJUSTMENT CODER

Wilmington, NC · On-site

$16 - $21.50/hr

RISK ADJUSTMENT CODER (MUST RESIDE IN NC) Job Summary: * Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation

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

As of Sep 13, 2026, the average hourly pay for hcc risk adjustment coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 per hour, depending on experience, location, and employer.

What is an HCC Risk Adjustment Coder?

An HCC Risk Adjustment Coder reviews medical records to identify and assign accurate Hierarchical Condition Category (HCC) codes based on documented diagnoses. These codes help determine risk adjustment scores, which impact healthcare reimbursements for Medicare Advantage and other risk-adjusted plans. Coders ensure compliance with CMS guidelines, improve documentation accuracy, and support proper reimbursement for patient care. Strong knowledge of ICD-10-CM coding, medical terminology, and risk adjustment models is essential for this role.

What are some common challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

HCC Risk Adjustment Coders often encounter challenges such as incomplete or ambiguous provider documentation, frequent code updates, and tight coding accuracy standards. Staying current on industry coding guidelines, maintaining open communication with providers, and participating in regular training programs are essential strategies for overcoming these hurdles. Coders who proactively seek clarification, double-check their work, and embrace ongoing learning typically excel in this role. Addressing these challenges effectively not only improves coding quality but also supports accurate reimbursement and risk adjustment reporting.

What are the key skills and qualifications needed to thrive in the HCC Risk Adjustment Coder position, and why are they important?

To thrive as an HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM coding guidelines, and clinical documentation, often demonstrated by a certification such as CPC, CRC, or CCS-P. Familiarity with EHR systems, risk adjustment software, and coding databases is commonly required. Attention to detail, analytical thinking, and strong communication skills set top coders apart in this field. These skills are critical for accurately capturing patient risk, ensuring compliance, and supporting optimal reimbursement for healthcare organizations.

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HCC Risk Adjustment Coder jobs near you
Infographic showing various Hcc Risk Adjustment Coder job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 82% Physical, 4% Hybrid, and 14% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

HCC Coding Auditor - Health Plan Network

Irving, TX • On-site

CHRISTUS Health
Outpatient Health Care • 1 - 5K employees
Learn more about CHRISTUS Healthexternal

Other

Posted 9 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 538 frontline employees who took The Breakroom Quiz

Job description

HCC Coding Auditor - Health Plan Network

US:TX:Irving | Medical Coding | Full Time

The HCC Coding Auditor will perform code audits and abstractions using the Official Coding Guidelines for ICD-10-CM and AHA Coding Clinic Guidance, following all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor will be involved with quality assurance auditing and risk adjustment code abstraction for the following programs: Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is a hybrid role.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Performs Medical Record reviews and audits based on organizational priorities. These can include prospective and concurrent Clinical Documentation Improvement (CDI) workflows and retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment.
  • Performs code abstraction and/or coding quality audits of medical records to ensure ICD-10CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS (HCC) Risk Adjustment guidelines.
  • Performs coding quality audits within multiple EMRs, databases, and/or vendor platforms to support employed and independent clinic risk adjustment strategies.
  • Identifies revenue, reimbursement, and provider educational opportunities while complying with state and federal regulations.
  • Prepares and/or performs auditing analysis and provides feedback on noncompliance issues detected through auditing.
  • Complies with all aspects of coding, abides by all ethical standards, and adheres to official coding guidelines.
  • Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually.
  • Ensures that rendered physician services for claim submission and any subsequent payments are as accurate as possible while complying with regulatory guidelines, including CMS, DHS, and OIG.
  • Assist coding leadership by making recommendations for process improvements to enhance coding quality goals and outcomes further.
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations by utilizing the current ICD-10-CM manual and other relevant materials.

Job Requirements:

Education/Skills

  • High School diploma or equivalent is required.
  • Excellent verbal and written communication skills.

Experience

  • Minimum of 1 year of experience in hospital inpatient/outpatient settings, medical office coding, or risk adjustment coding OR 3+ years of experience in one or more of the following areas: Claims Processing, Insurance Verification, Provider Credentialing, Member Services, Member Enrollment, Medical Records Management, Health Information Management, Medical Assisting, Nursing, Billing, Benefits and Eligibility, or Provider Education.

Licenses, Registrations, or Certifications

  • Coding certification from AAPC or AHIMA is required within six (6) months of hire:
    • Certified Professional Coder (CPC)
    • Certified Professional Coder-Apprentice (CPC-A)
    • Certified Risk Adjustment Coder (CRC)
    • Certified Risk Adjustment Coder-Apprentice (CRC-A)
    • Certified Coding Associate (CCA)
    • Certified Coding Specialist (CCS)
    • Registered Health Information Management Technician (RHIT)
    • Certified Coding Specialist for Providers (CPMA)
    • Certified Coding Specialist for Providers (CDEO)

Work Schedule: 5 Days - 8 Hours

Work Type: Full Time

What CHRISTUS Health employees say

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Benefits

Hours and flexibility

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About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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