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Hcc Coder Jobs in Conroe, TX (NOW HIRING)

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston City College (HCC) is composed of 14 ...

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...

Specialist, Accounting

Houston, TX · On-site

$20.25 - $27.50/hr

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...

New

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is composed ...

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is an open ...

New

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is an open ...

New

PT Technician Hardware/Software Pool (NW)

Houston, TX · On-site

$35K - $36K/yr

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215 The Organization Houston Community College (HCC) is an open ...

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Hcc Coder information

See Conroe, TX salary details

$13

$19

$29

How much do hcc coder jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for hcc coder in Conroe, TX is $19.20, according to ZipRecruiter salary data. Most workers in this role earn between $15.43 and $20.58 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.
What cities near Conroe, TX are hiring for Hcc Coder jobs? Cities near Conroe, TX with the most Hcc Coder job openings:
Infographic showing various Hcc Coder job openings in Conroe, TX as of July 2026, with employment types broken down into 83% Full Time, 9% Part Time, 2% Temporary, and 6% Contract. Highlights an 87% In-person, 2% Hybrid, and 11% Remote job distribution, with an average salary of $39,928 per year, or $19.2 per hour.

Risk Adjustment Coding Specialist II - Houston

Astrana Health, Inc.

Houston, TX • On-site, Remote

$70K - $85K/yr

Full-time

Posted 23 days ago


Job description

Risk Adjustment Coding Specialist II - Houston
Department: Quality - Risk Adjustment
Employment Type: Full Time
Location: 19500 HWY 249, Suite 570 Houston, TX 77070
Reporting To: Chanell Graves
Compensation: $70,000 - $85,000 / year
Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Houston market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You'll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! This position requires travel to provider offices up to 75% of the time in the Houston area.
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
  • Other duties as assigned

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC certification, CPC and CRC.
  • At least 3 years of experience in risk adjustment coding and/or billing experience required.
  • At least 1 year of experience with targeted provider education.
  • Reliable transportation/Valid Driver's License/Must be able to travel up to 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • Excellent presentation, verbal and written communication skills, and ability to collaborate
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.

You're great for this role if:
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Strong PowerPoint and public speaking experience
  • Ability to work independently and collaborate in a team setting
  • Experience with Monday.com
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting

Environmental Job Requirements and Working Conditions
  • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This role follows a hybridwork structure where the expectation is to work in the office, in the field and at home on a weekly basis. 19500 HWY 249, Suite 570 Houston, TX 77070. This position requires up to 75% travel to provider offices in Houston.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.comto request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.