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Hcc Coder Jobs in Baton Rouge, LA (NOW HIRING)

FMOLHS

Coder 2 - Clinic

Baton Rouge, LA

$18 - $24/hr

Coder 2 - Clinic Job Summary: To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. * Quality and ...

FMOLHS

Coder 3 - Hospital

Baton Rouge, LA

$18 - $24/hr

The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to ...

FMOLHS

Inpatient Coder (REMOTE)

Baton Rouge, LA · Remote

$21 - $25.25/hr

The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to ...

CVS Health

Nurse Pracitioner

Baton Rouge, LA · On-site

$78K - $168K/yr

Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the ...

FMOLHS

Clinical Documentation Specialist

Baton Rouge, LA

$33.25 - $45/hr

They facilitate modifications that accurately reflect patient severity, risk, and resource use, collaborating with clinicians and coders. The CDS ensures compliance with regulatory guidelines and ...

FMOLHS

Manager Clinical Documentation

Baton Rouge, LA

$33.25 - $45/hr

Demonstrates actions consistent with FMOLHS code of conduct. * Seven years clinical nursing experience or strong inpatient coding background with at least Seven years acute inpatient coding ...

All JobsHcc Coder JobsHcc Coder Jobs in Baton Rouge, LA

Hcc Coder information

See Baton Rouge, LA salary details

$15

$21

$33

How much do hcc coder jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for hcc coder in Baton Rouge, LA is $21.53, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 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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Hcc Coder jobs near you
Infographic showing various Hcc Coder job openings in Baton Rouge, LA as of July 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 65% Physical, 2% Hybrid, and 33% Remote job distribution, with an average salary of $44,783 per year, or $21.5 per hour.

Director, Prospective Risk Adjustment Operations

Louisiana Workforce Commission

Baton Rouge, LA • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us.

Residency in or relocation to Louisiana is preferred for all positions.

Position Purpose

The Director, Prospective Risk Adjustment Operations leads the organization's prospective risk adjustment accuracy strategy and execution across Medicare Advantage and ACA products. This role is accountable for the design, implementation, and optimization of provider-facing and member-facing programs that ensure complete, accurate, and compliant documentation of member health status at the point of care. The Director oversees Clinical Documentation Integrity (CDI), provider engagement, Annual Wellness Visit initiatives, in-home and telehealth assessment programs, and other prospective risk adjustment interventions designed to drive accurate HCC capture and improve risk adjustment outcomes.

How You Contribute to the Company's Mission in this Role

Strategic Leadership

  • Leads the development and execution of enterprise-wide prospective risk adjustment operational strategies.

  • Translates analytical insights into scalable operational programs that improve documentation accuracy, provider engagement, and member participation.

  • Establishes performance goals, operational metrics, and accountability measures to achieve enterprise risk adjustment objectives.

Provider-Facing Prospective Coding Accuracy Programs

  • Oversees all provider-facing prospective HCC coding accuracy programs.

  • Develops, deploys, and scales Clinical Documentation Integrity (CDI) programs focused on suspected and previously coded conditions, practice transformation initiatives, and payer-provider process integration.

  • Engages providers to improve documentation quality and coding accuracy through education, performance reporting, and consultative support.

  • Aligns provider incentive structures with coding accuracy objectives and broader quality improvement programs.

Member-Facing Coding Accuracy Programs

  • Leads initiatives designed to improve member participation in prospective risk adjustment activities.

  • Oversees integration of Annual Wellness Visit outreach efforts into existing member engagement programs.

  • Develops new outreach strategies targeting members at risk of non-engagement.

  • Oversees Comprehensive Health Evaluation programs, including in-home and telehealth health assessments.

Cross-Functional Collaboration

  • Collaborates with healthcare analytics, provider organizations, value-based care teams, population health, compliance, and clinical leadership to advance prospective risk adjustment goals.

  • Partners with internal stakeholders to integrate risk adjustment communications and interventions throughout the member lifecycle.

  • Builds and maintains relationships with vendors and strategic partners that support prospective coding accuracy initiatives.

Operational Excellence

  • Owns operational infrastructure, workflows, performance management processes, and vendor oversight necessary to achieve program objectives.

  • Monitors and drives performance related to prospective HCC recapture, provider coding accuracy, Annual Wellness Visit completion, in-home assessment completion, and provider engagement outcomes.

  • Ensures all programs operate in accordance with regulatory and compliance requirements.

Required Qualifications

Education

  • Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, Finance, or a related field required.

  • Master's degree preferred.

Experience

  • Seven (7) years of progressive leadership experience in risk adjustment, population health, provider engagement, healthcare operations, value-based care, or a related healthcare function.

  • Experience developing and leading provider-facing initiatives designed to improve documentation quality, coding accuracy, and operational performance.

  • Demonstrated experience leading large-scale operational programs and cross-functional teams.

  • Experience working with Medicare Advantage, ACA, risk adjustment methodologies, HCC coding, and healthcare reimbursement programs preferred.

Knowledge, Skills, and Abilities

  • Strong knowledge of prospective risk adjustment principles, HCC coding methodologies, and documentation integrity practices.

  • Understanding of provider engagement strategies, population health management, and value-based care models.

  • Ability to analyze complex operational and performance data and translate findings into actionable business strategies.

  • Strong communication, relationship management, and influencing skills.

  • Demonstrated ability to lead organizational change and drive measurable results through cross-functional collaboration.

  • Strong project management, process improvement, and vendor management skills.

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.

Perform other job-related duties as assigned, within your scope of responsibilities.

Job duties are performed in a normal and clean office environment with normal noise levels.

Work is predominately done while standing or sitting.

The ability to comprehend, document, calculate, visualize, and analyze are required.

An Equal Opportunity Employer

All internal employees please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.

In support of our mission to improve the health and lives of Louisianians, we encourage the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, we are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

Louisiana Workforce Commission logo

About Louisiana Workforce Commission

Sourced by ZipRecruiter

The Louisiana Workforce Commission’s vision is to make Louisiana the best place in the country to get a job or grow a business, and our goal is to be the country's best workforce agency. Our mission is simple and straightforward – we put people to work. Today, the LWC is ideally positioned and structured to support and serve Louisiana’s employers, job seekers and workforce partners.

Industry

Public administration

Company size

11 - 50 Employees

Headquarters location

Baton Rouge, LA, US

Year founded

2008

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