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Hcc Coder Jobs in Massachusetts (NOW HIRING)

Beth Israel Lahey Health

Outpatient Coder 3

Charlestown, MA · Remote

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and ...

TaraVista Behavioral Health

Medical Coder, 40hrs

Devens, MA · On-site

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred. As a Medical Coder for TaraVista in Devens, Massachusetts, you'll bring your experience and knowledge where ...

YO AI Labs

Medical Coder - Remote

Boston, MA · Remote

$50 - $80/hr

Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on ...

TaraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred As a Medical Coder for MiraVista in Holyoke, Massachusetts, you'll bring your experience and knowledge where ...

Beth Israel Lahey Health

Outpatient Coder 3

Boston, MA · On-site

$20.25 - $27.25/hr

Outpatient Coder When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the general supervision of the Outpatient (OP) Coding Manager ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · Remote

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and ...

Westborough Behavioral

Coder - Per Diem

Westborough, MA · On-site

$19.25 - $25.75/hr

Medical Office Coder Shift details: Per diem Job Summary: The Medical Coder complies with all legal requirements regarding coding procedures and practices. Conducts audits and coding reviews to ...

Beth Israel Lahey Health

Outpatient Coder 2

Boston, MA · On-site

$20.25 - $27.25/hr

Facility Op Coder When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the general supervision of the Facility Outpatient (OP) Coding ...

Beth Israel Lahey Health

Outpatient Coder 3

Charlestown, MA · On-site

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and ...

TaraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred. As a Medical Coder for TaraVista in Devens, Massachusetts, you'll bring your experience and knowledge where ...

Beth Israel Lahey Health

Outpatient Coder 2

Charlestown, MA · Remote

$20.50 - $27.25/hr

The OP coder will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and ...

YO AI Labs

Medical Coder - Remote

Boston, MA · Remote

$50 - $80/hr

Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on ...

UnitedHealth Group

Senior Medical Coder

Chelmsford, MA · On-site

$24 - $43/hr

Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and ...

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All JobsHcc Coder JobsHcc Coder Jobs in Massachusetts

Hcc Coder information

See Massachusetts salary details

$17

$24

$37

How much do hcc coder jobs pay per hour?

As of Aug 17, 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 is an HCC coder?

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.

What skills and qualifications are needed to thrive as an HCC coder?

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.

What are 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 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 popular job titles related to Hcc Coder jobs in Massachusetts?

For Hcc Coder jobs in Massachusetts, the most frequently searched job titles are:

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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 August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $50,934 per year, or $24.5 per hour.

Manager, Risk Adjustment

Central Mass Health LLC

Worcester, MA • On-site

$90K/yr

Full-time

Re-posted yesterday

Job description

Mass Advantage is a Medicare Advantage health plan, located in the heart of Worcester County, headquartered in Worcester MA. Mass Advantage is owned and designed by UMass Memorial Health providers with their patients' needs in mind.
We are looking for a Manager of Risk Managment to oversee Mass Advantages's full suite of Risk Adjustment activities. This position is responsible for the strategy, execution and performance of Medicare risk adjustment programs, infrastructure and systems to meet business objectives, revenue expectations, management of external vendors, interaction with Providers, regulatory audits, and compliance with CMS regulations. The Manager of Risk Management is also responsible for analysis, projections, and assessment of Medicare revenue initiatives for senior products; leading and coordinating enterprise risk adjustment initiatives, working with the necessary areas of Mass Advantage and UMass Memorial Health Operations as well as vendor partners.
Essential Duties and Responsibilities:
Program Strategy & Execution
  • Own end-to-end RA strategy across prospective (point-of-care capture, suspecting, provider workflows) and retrospective (chart review, coding validation) programs, ensuring complete, accurate, and compliant HCC documentation under the applicable CMS-HCC model (including V24 -V28 transition management).
  • Evaluate current vendor performance, renegotiating or sunsetting SOWs where internal capability is superior.
  • Serve as the plan-side counterpart to UMMH CDI, HIM, and Coding leadership, coordinating with the CMO's office to embed documentation workflows into Epic-based clinical practice rather than layered on top of it.
  • Partner with Network and Clinical Services to design provider-facing education, scorecards, and incentive structures that drive documentation accuracy without creating coding-driven behavior.
  • Develop provider-level performance reporting that is transparent, defensible, and actionable.

RADV, Audit & Compliance
  • Lead RADV audit readiness and response, including medical record retrieval, validation, submission strategy, and cross-functional coordination with Legal, Compliance, and Finance to mitigate financial and compliance risk.
  • Maintain a comprehensive QA program covering RADV, OIG, and internal audits - monitoring the work of internal coders, contracted vendors, and provider documentation alike.
  • Own encounter data integrity, including EDPS submission accuracy, RAPS/EDPS reconciliation, and error resolution.

Analytics, Finance & Bid Support
  • Build and maintain the RA analytics layer - dashboards, KPIs, and provider/member-level reporting that drive continuous improvement in risk score accuracy, coding yield, and program ROI.
  • Partner with Actuarial and Finance on bid development, producing defensible risk score projections, trend analysis, and revenue assumptions grounded in population severity and program performance.
  • Communicate results to executive and board audiences through clear reports, dashboards, and presentations.

Program & Team Leadership
  • Set departmental goals, budgets, and tactical plans aligned with enterprise strategy and financial targets.
  • Other duties may be assigned as needed.

* Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Requirements
  • Bachelor's degree in a relevant field; Master's (MBA, MHA, MPH) preferred.
  • Registered Nurse (RN) desired.
  • CRC (Certified Risk Adjustment Coder), CPC, or CCS certification preferred.
  • 7+ years in Medicare Advantage risk adjustment, with at least 3 years in a plan-side role (not solely provider-side or vendor-side).
  • Direct, hands-on RADV experience - working fluency with the CMS-HCC model, including the V24-V28 transition and its financial implications.
  • Demonstrated experience managing or transitioning RA vendors (coding, chart retrieval, in-home assessment).
  • Strong analytical skills: able to interrogate data directly in SQL, Power BI, or Tableau, or to spec analytics requirements with precision.+
  • Strong Microsoft Office skills (Word, Outlook, Excel and PP).

Salary Description
Starting at $90K

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