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Hcc Risk Adjustment Coding Jobs (NOW HIRING)

e4health

Risk Adjustment (RA)/HCC Coder/Auditor

$28 - $31.75/hr

Advanced knowledge and understanding of HCC/risk adjustment, coding and documentation requirements * Demonstrate ability to perform accurate and complete chart audits for HCC/risk adjustment

Zing Health Holdings Inc

IL · On-site

$85K - $90K/yr

Review, validate, and code Medicare Advantage medical records using ICD-10-CM and CMS-HCC methodologies to support accurate and compliant risk adjustment submissions. * Conduct quality assurance ...

Zing Health

Senior Risk Adjustment Coding Auditor

IL · Remote

$85K - $90K/yr

Review, validate, and code Medicare Advantage medical records using ICD-10-CM and CMS-HCC methodologies to support accurate and compliant risk adjustment submissions. * Conduct quality assurance ...

Datavant

Auditor, HCC Risk Adjustment Coding

Dallas, TX · Remote

$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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

Boston, MA · On-site

$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 ...

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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

Salem, OR · On-site

$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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

Sacramento, CA · On-site

$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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

Pierre, SD · On-site

$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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

Nashville, TN · On-site

$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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

Honolulu, HI · On-site

$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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

Atlanta, GA · On-site

$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 ...

Datavant

Auditor, HCC Risk Adjustment Coding

Madison, WI · On-site

$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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HCC Risk Adjustment Coding information

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

As of Sep 10, 2026, the average hourly pay for hcc risk adjustment coding in the United States is $27.43, according to ZipRecruiter salary data. Most workers in this role earn between $20.67 and $33.65 per hour, depending on experience, location, and employer.

What is an HCC Risk Adjustment Coding?

An HCC Risk Adjustment Coding job involves reviewing medical records to assign Hierarchical Condition Category (HCC) codes based on documented diagnoses. Coders ensure accurate risk adjustment by following ICD-10-CM coding guidelines, which impact reimbursement for healthcare providers and insurance plans. This role requires knowledge of medical terminology, compliance regulations, and risk adjustment models used in Medicare Advantage and other programs.

What are the key skills and qualifications needed to thrive in HCC Risk Adjustment Coding?

To thrive as an HCC Risk Adjustment Coder, you need a strong understanding of medical coding guidelines, ICD-10-CM codes, and risk adjustment principles, typically supported by a certification such as CPC, CRC, or CCS-P. Familiarity with electronic health record systems and risk adjustment software is essential for accurate coding and data analysis. Attention to detail, critical thinking, and effective communication skills are important soft skills for ensuring documentation integrity and collaborating with healthcare providers. These competencies are crucial to accurately capture patient complexity, optimize reimbursement, and support compliance in healthcare organizations.

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

HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying up-to-date with evolving coding guidelines, and ensuring thorough documentation to support accurate risk scoring. To overcome these challenges, coders should engage in continuous education, collaborate closely with healthcare providers for clarification, and utilize available coding resources and team support. Staying organized and maintaining a detail-oriented approach will also help ensure that codes are assigned correctly and all relevant conditions are captured. Working as part of a supportive team can further ease the process, providing opportunities for knowledge sharing and professional development.

Is Hcc Risk Adjustment Coding a good career?

Hcc Risk Adjustment Coding is a growing field within healthcare that involves analyzing patient data to improve risk adjustment models, often requiring knowledge of medical terminology and coding systems like ICD-10. It offers opportunities for stable employment, remote work, and career advancement, especially for those with certification and experience in medical coding. The role is in demand as healthcare organizations focus on accurate risk assessment and reimbursement.
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HCC Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding 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 $57,055 per year, or $27.4 per hour.

Risk Adjustment - Risk Adjustment Coding Auditor 135-2014

Tulsa, OK • On-site

CommunityCare
See more jobs at CommunityCareexternal

$25 - $28.25/hr

Full-time

Re-posted 12 days ago

Job description

JOB SUMMARY:
The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity.
KEY RESPONSIBILITIES:
• Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements.
• Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines.
• Identify unsupported diagnoses, over coding, under-coding, and documentation gaps.
• Provide detailed audit findings and recommendations to coding teams, providers, and leadership.
• Monitor compliance with CMS Risk Adjustment Data Validation (RADV) standards.
• Track and report audit results, trends, and performance metrics.
• Collaborate with coding staff, providers, and operations teams to improve documentation quality and coding accuracy.
• Assist with education and training initiatives related to risk adjustment and documentation best practices.
• Maintain confidentiality and ensure compliance with HIPAA regulations.
• Meet daily and weekly productivity goals and quality standards set by the supervisor.
• Perform other job-related duties as required or assigned.
QUALIFICATIONS:
• Knowledge of CMS-HCC and HHS-HCC risk adjustment model.
• Knowledge of ICD-10-CM coding guidelines.
• Knowledge of RADV requirements.
• Proficiency in EMR systems and Microsoft Office (Excel preferred).
• High attention to detail.
• Strong analytical and critical thinking skills.
• Clear written and verbal communication.
• Ability to work independently and meet deadlines.
• Strong organizational skills.
• Integrity and commitment to compliance.
• Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
• A minimum of two years of risk adjustment coding or auditing experience.
• Experience reviewing medical records across multiple specialties.
• Certified Professional Coder (CPC), CRC, CCS, or equivalent coding certification.
• Bachelor's degree in Health Information Management or related field preferred.
• Previous auditing experience in Medicare Advantage and ACA preferred.
• Experience with internal audit programs or payer audits preferred.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin

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