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Hcc Coder Jobs in Massachusetts (NOW HIRING)

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Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC ...

Lynn Community Health Center

Medical Coder II

Lynn, MA · On-site

$18.22 - $24.52/hr

HCC or DxCG coding experience. * Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. * Experienced communicating ...

Valley Medical Group

Quality Specialist LPN

Greenfield, MA · On-site

$26.21 - $37.33/hr

HCC coding and risk adjustment review and analysis: review patients for targeted diagnosis gaps and update the EMR to reflect appropriate HCC diagnosis, and perform chart prep for the upcoming ...

Signature Healthcare

Coder

West Bridgewater, MA

Under the general supervision of the Ambulatory Coding Manager, the primary function of the coder is to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing of service provided. The ...

Signature Healthcare

Coder

West Bridgewater, MA · On-site

Under the general supervision of the Ambulatory Coding Manager, the primary function of the coder is to ensure accurate documentation, coding (CPT/HCPCS/ICD10) and billing of service provided. The ...

Integrated Resources INC

Medical Coder

Cambridge, MA

$20.50 - $27.25/hr

Medical Coder (/Medical coding) Duration: 10 Months+ (Possible Extension) Job Summary: The Medical Coder is responsible for conducting centralized medical coding activities using agEncoder as part of ...

Integrated Resources INC

Medical Coder

Cambridge, MA

$20.50 - $27.25/hr

Client Direct Client Location Cambridge, MA Job Title Medical Coder Position Duration 9+ Months Must have skill-set [ ] Job Summary The Medical Coder is responsible for conduct of centralized medical ...

Community Care Cooperative

Risk Coder

Boston, MA · On-site

$50K - $57K/yr

Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) revision number and date: 2.0, 01.06.2025 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) ...

Community Care Cooperative

Outpatient Coder

Boston, MA · On-site

$50K - $57K/yr

Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Remote revision number and date : V 2.0; 5.11.2026 Organization Summary: Community Care ...

South Shore Health

Professional Coder I

Weymouth, MA · On-site

$26.20 - $37.20/hr

As well as both E/M codes and procedure codes. The Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires ...

South Shore Health

Professional Coder I

Weymouth, MA

$26.20 - $37.20/hr

As well as both E/M codes and procedure codes. The Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires ...

South Shore Health

Professional Coder I

Weymouth, MA · On-site

$26.30 - $37.60/hr

As well as both E/M codes and procedure codes. The Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires ...

Encompass Health Corporation

HIMS Coder

Braintree, MA · On-site

$22 - $26.75/hr

Medical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your ...

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Hcc Coder information

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$17

$24

$37

How much do hcc coder jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for hcc coder in Massachusetts is $24.49, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $26.25 per hour, depending on experience, location, and employer.

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 models, and ICD-10-CM coding guidelines, often supported by certifications such as CPC, CRC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment tools is typically required. Attention to detail, analytical thinking, and strong organizational skills distinguish top performers in this field. These competencies are crucial for ensuring accurate coding, compliant documentation, and optimal reimbursement for healthcare organizations.

How to become an HCC coder?

To become an HCC (Hierarchical Condition Category) coder, you typically need a medical coding certification such as CPC or CCS, along with specialized training in HCC coding and risk adjustment. Gaining experience in medical billing and coding, understanding medical documentation, and staying current with CMS guidelines are also important steps.

Is HCC coding a good career?

HCC coding, which involves Hierarchical Condition Category coding used for risk adjustment in healthcare, is a growing field with steady demand due to the expansion of value-based care models. It requires strong attention to detail, knowledge of medical terminology, and often certification such as CPC or CCS. The career can offer stable employment and opportunities for remote work, making it a viable option for those interested in medical coding and healthcare administration.

What is the difference between Hcc Coder vs Medical Biller?

AspectHcc CoderMedical Biller
CertificationsHCC Coding Certification, CPCMedical Billing Certification, CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Primary FocusAssigning Hierarchical Condition Category codes for insurance risk adjustmentProcessing insurance claims and patient billing
Industry UsageHealthcare, insuranceHealthcare, insurance

Hcc Coders specialize in assigning codes for insurance risk adjustment, focusing on Hierarchical Condition Categories, while Medical Billers handle the billing process, submitting claims and managing payments. Both roles require coding knowledge and work in healthcare settings, but their primary responsibilities differ significantly.

What are some common challenges faced by HCC Coders, and how can they be addressed?

HCC Coders often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and ensuring accurate documentation to maximize risk adjustment scores. To address these, coders can participate in ongoing training, regularly review updates from CMS and other regulatory bodies, and collaborate closely with clinical staff to clarify ambiguous documentation. Leveraging coding software and auditing processes can also help maintain accuracy and compliance in daily work.

What does an HCC coder do?

An HCC coder reviews medical records and assigns Hierarchical Condition Category (HCC) codes to accurately reflect a patient's health conditions. This coding is used for risk adjustment in healthcare reimbursement and requires knowledge of medical terminology, coding systems, and often certification in medical coding. HCC coders ensure proper documentation and coding to support accurate billing and risk assessment.

How much do HCC medical coders make in the US?

HCC medical coders in the US typically earn between $45,000 and $70,000 annually, depending on experience, certification, and location. Skilled coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized knowledge of hierarchical condition categories (HCC).

What are HCC coders?

HCC coders are medical coding professionals who specialize in Hierarchical Condition Category (HCC) coding. They review patient medical records to identify and assign appropriate diagnosis codes, ensuring accurate risk adjustment for Medicare Advantage and other value-based care programs. Their work is critical for healthcare organizations to receive proper reimbursement and to report patient health status accurately. HCC coders must understand both clinical documentation and coding guidelines to ensure compliance and optimize coding accuracy.
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What job categories do people searching Hcc Coder jobs in Massachusetts look for? The top searched job categories for Hcc Coder jobs in Massachusetts are:
What cities in Massachusetts are hiring for Hcc Coder jobs? Cities in Massachusetts with the most Hcc Coder job openings:
Hcc Coder jobs near you
Infographic showing various Hcc Coder job openings in Massachusetts as of July 2026, with employment types broken down into 5% As Needed, 88% Full Time, and 7% Contract. Highlights an 68% In-person, and 32% Remote job distribution, with an average salary of $50,934 per year, or $24.5 per hour.
Registered Nurse - HCC/RAF Coding Specialist

Registered Nurse - HCC/RAF Coding Specialist

Baystate Health

Springfield, MA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 13 days ago

Baystate Health rating

6.4

Company rating: 6.4 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

644th of 890 rated healthcare providers

Job description

Registered Nurse - HCC/RAF Coding Specialist
SUMMARY:
The HCC/RAF Coding Nurse is responsible for conducting comprehensive medical record reviews and assigning accurate ICD-10-CM diagnosis codes for risk adjustment-eligible patients. This role supports the organization's Population Health and Value-Based Care initiatives by ensuring complete, accurate, and compliant documentation of chronic conditions in accordance with Centers for Medicare & Medicaid Services (CMS) and Hierarchical Condition Category (HCC) guidelines.
Working collaboratively with providers and clinical staff, the HCC/RAF Coding Nurse identifies documentation opportunities, promotes coding accuracy, improves the completeness of patient problem lists, and supports appropriate reimbursement through Medicare Risk Adjustment (RAF) and quality initiatives, including Healthcare Effectiveness Data and Information Set (HEDIS). This position also serves as a clinical coding resource by providing education and guidance to providers while improving documentation quality, patient outcomes, and provider satisfaction.
This position complies with all organizational policies, regulatory requirements, and applicable federal and state laws while performing other duties as assigned.
RESPONSIBILITIES:
  • Review medical records and assign accurate ICD-10-CM diagnosis codes in accordance with CMS HCC guidelines.
  • Identify documentation gaps and collaborate with providers to clarify incomplete, conflicting, or ambiguous documentation.
  • Maintain accurate patient problem lists by adding, updating, and resolving diagnoses as appropriate.
  • Identify and validate chronic conditions that impact Medicare Risk Adjustment (RAF) and quality reporting.
  • Educate providers and staff on HCC coding, documentation improvement, and coding best practices.
  • Utilize risk adjustment reports to prioritize chart reviews, provider education, and documentation improvement efforts.
  • Promote Medicare Annual Wellness Visits to support preventive care, documentation accuracy, and risk adjustment capture.
  • Support clinical outcome initiatives, quality improvement projects, Population Health initiatives, and patient onboarding activities.
  • Maintain compliance with organizational policies, CMS regulations, ICD-10-CM coding standards, and applicable federal and state laws.
  • Perform other duties as assigned.

SCHEDULE:
  • Full-Time, 40-hours per week
  • Monday-Friday, no holidays or weekends
  • Hybrid work schedule with the ability to travel to practices throughout the Baystate Health System to conduct provider education, trainings, and on-site documentation improvement initiatives.

QUALIFICATIONS:
  • Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.
  • Current Massachusetts Registered Nurse (RN) license required.
  • Minimum of three (3) years of clinical RN experience required.
  • Valid driver's license required.
  • Physician practice clinical experience may be considered.
  • Experience with HCC/RAF coding, Medicare Risk Adjustment, Clinical Documentation Improvement (CDI), or Population Health preferred.
  • Experience with electronic medical record systems; Cerner experience preferred.
  • Strong clinical knowledge of chronic disease management.
  • Knowledge of ICD-10-CM coding, CMS HCC guidelines, Medicare Risk Adjustment methodologies, HEDIS, and Clinical Documentation Improvement (CDI) principles.
  • Exceptional analytical and critical thinking skills with the ability to interpret complex clinical documentation and coding requirements.
  • Strong presentation, facilitation, and provider education skills with the ability to effectively communicate complex coding and regulatory concepts to diverse clinical audiences.
  • Demonstrated ability to build collaborative relationships with providers and clinical staff through education, coaching, and consultation.
  • Excellent communication, organizational, analytical, and problem-solving skills.
  • Proficiency with Microsoft Office applications and electronic medical record systems.
  • Ability to work independently while managing multiple priorities and maintaining high productivity, accuracy, and quality standards.
  • Self-motivated with a commitment to continuous learning and maintaining current knowledge of CMS HCC, ICD-10-CM, Medicare Risk Adjustment, and related regulatory guidelines.

THE ADVANTAGES OF WORKING WITH BAYSTATE!
  • Excellent compensation
  • High-quality, low-cost medical, dental, and vision insurance
  • Pet, home, auto, and personal insurance
  • Certification and continuing education reimbursement
  • 403(b) retirement plan with company match and annual company contribution increases based on years of service
  • Life insurance
  • Free financial coaching from a certified professional
  • Reimbursement for well-being activities, including gym memberships, fitness equipment, personal training, massage, and more
  • Well-being programs supporting mental, physical, and financial health

We strive to be the place where you can build the career you deserve-apply today! You belong at Baystate!
All correspondence can be directed to:
Kimberly Jeznach
Healthcare Recruiter
kimberly.jeznach@baystatehealth.org
Education:
Associates Degree (Required)
Certifications:
Driver License - OtherOtherOther, Registered Nurse - State of MassachusettsState of MassachusettsState of Massachusetts
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum - Midpoint - Maximum
$89,606.00 - $103,001.00 - $121,804.00
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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